Hoeksema, Jay Lee
Hoeksema, Jay Lee is an individual health care provider with primary practice located at 661 E Main St , Peru IN 46970-2662. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Hoeksema, Jay Lee can be contacted via phone (765) 472-2519.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71010433A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28160280A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71010433A | Indiana |
Profile Details
| NPI number | 1124625926 |
|---|---|
| LBN Legal business name | Hoeksema, Jay Lee |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2020 |
| Last updated | Mar 1st, 2024 - about 8 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124625926 | NPPES |
| Indiana | Other | 71010433A | APRN PRESCRIPTIVE AUTHORITY |
| Indiana | Other | 28160280A | APRN PRESCRIPTIVE AUTHORITY |
| Indiana | Other | 71010433B | APRN PRESCRIPTIVE AUTHORITY |
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