Jaclyn C Hoffman, DNP, FNP | |
431 Meadowlark St, Shaw Afb, SC 29152-5019 | |
(803) 895-2273 | |
Not Available |
Full Name | Jaclyn C Hoffman |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 431 Meadowlark St, Shaw Afb, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427667765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 9284135-3102 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 9284135-4405 (Utah) | Primary |
Entity Name | Copperview Medical Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316970924 PECOS PAC ID: 4284538976 Enrollment ID: O20031124000640 |
Mailing Address | Practice Location Address |
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Jaclyn C Hoffman, DNP, FNP 5927 S Noble Oaks Cir, Murray, UT 84123-4917 Ph: (801) 381-1722 | Jaclyn C Hoffman, DNP, FNP 431 Meadowlark St, Shaw Afb, SC 29152-5019 Ph: (803) 895-2273 |
Ms. Lauren Carol Allain, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 Meadowlark St., 20th Mdg/sghc, Shaw Afb, SC 29152 Phone: 803-895-6356 Fax: 803-895-6456 | |
Jacqueline Mintz, ARNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 524 Nelson Ave, Shaw Afb, SC 29152 Phone: 706-495-6612 | |
Lorraine Rivero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 843-754-2214 | |
Diane Susan White, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-6356 | |
Kimberly Marie Shanks, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 431 Meadowlark Rd, Shaw Afb, SC 29152 Phone: 803-895-6592 | |
Bri Durrans Deamare Ramirez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152 Phone: 808-772-9388 | |
Daniel Anthony Blaz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 Meadowlark St, Shaw Afb, SC 29152 Phone: 803-885-7976 |