Hofmeister, Jacqueline Rae

Hofmeister, Jacqueline Rae is an individual health care provider with primary practice located at 20000 Harvard Ave Ste 1002 , Warrensville Heights OH 44122-6805. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Hofmeister, Jacqueline Rae can be contacted via phone (216) 991-2600.

Contact Information

Primary practice address
20000 Harvard Ave Ste 1002 Warrensville Heights OH 44122-6805
Phone: (216) 991-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 338800 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 338800 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 15574 Ohio

Profile Details

NPI number 1174944680
LBN Legal business name Hofmeister, Jacqueline Rae
Credentials AGPCNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2013
Last updated Feb 18th, 2022 - about 2 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174944680 NPPES
Ohio MEDICAID 0143552

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