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

Primary practice address
661 E Main St Peru IN 46970-2662
Phone: (765) 472-2519
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1124625926 NPPES
Indiana Other 71010433A APRN PRESCRIPTIVE AUTHORITY
Indiana Other 28160280A APRN PRESCRIPTIVE AUTHORITY
Indiana Other 71010433B APRN PRESCRIPTIVE AUTHORITY

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