Hovis, Jacquelyn Jean
Hovis, Jacquelyn Jean is an individual health care provider with primary practice located at 902 Kirkwood Ave Nw , Lenoir NC 28645-5121. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hovis, Jacquelyn Jean can be contacted via phone (828) 754-0101.Contact Information
Primary practice address
902 Kirkwood Ave Nw
Lenoir NC 28645-5121
Phone: (828) 754-0101
Fax: (828) 757-0402
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5011486 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5011486 | North Carolina |
Profile Details
NPI number | 1124498878 |
---|---|
LBN Legal business name | Hovis, Jacquelyn Jean |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2015 |
Last updated | Mar 21st, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124498878 | NPPES |
Other | 14424377 | CAQH | |
Other | 145314 | CAQH | |
Other | 5011486 | CAQH |
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