Basic Information
Provider Information
NPI: 1689711228
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOEHN
FirstName: JERRI
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: CNM; CNS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 106 N BROADVIEW ST
Address2:  
City: DEL RIO
State: TX
PostalCode: 788402404
CountryCode: US
TelephoneNumber: 8307340175
FaxNumber:  
Practice Location
Address1: 1801 N BEDELL AVE
Address2:  
City: DEL RIO
State: TX
PostalCode: 788404491
CountryCode: US
TelephoneNumber: 8307689200
FaxNumber: 8307743534
Other Information
ProviderEnumerationDate: 01/31/2007
LastUpdateDate: 09/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SP0200X137344TXN Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics
367A00000X137344TXY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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