Jessica Hoefler
Individual provider Active NPI Registered Nurse · Kiel, WI
NPI 1891242335 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1891242335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 198084 (WI)
- Practice address
- W308 City View Rd
Kiel, WI 53042-9611 - Phone
- (920) 889-8502
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198084 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 198084 | WI | Yes |
Addresses
Primary practice location
W308 City View Rd
Kiel, WI 53042-9611
Mailing address
W308 City View Rd.
Kiel, WI 53042
Other providers in Kiel, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.