Hockeborn, Audrey Jean

Hockeborn, Audrey Jean is an individual health care provider with primary practice located at 3623 Latrobe Dr Ste 216 , Charlotte NC 28211. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hockeborn, Audrey Jean can be contacted via phone (704) 332-1291.

Contact Information

Primary practice address
3623 Latrobe Dr Ste 216 Charlotte NC 28211
Phone: (704) 332-1291
Fax: (704) 332-5206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 0010-00997 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00997 North Carolina

Profile Details

NPI number 1790989713
LBN Legal business name Hockeborn, Audrey Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Feb 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790989713 NPPES
Other 1076748 NCCPA CERTIFICATION

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