Provider Demographics
NPI:1093409880
Name:HOHMAN, JASON MURRAY (MSN, APRN, FNP)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:MURRAY
Last Name:HOHMAN
Suffix:
Gender:M
Credentials:MSN, APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:GLEN CARBON
Mailing Address - State:IL
Mailing Address - Zip Code:62034-1203
Mailing Address - Country:US
Mailing Address - Phone:618-334-4683
Mailing Address - Fax:
Practice Address - Street 1:31 NORTH ST
Practice Address - Street 2:
Practice Address - City:GLEN CARBON
Practice Address - State:IL
Practice Address - Zip Code:62034-1203
Practice Address - Country:US
Practice Address - Phone:618-334-4683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209027612363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily