Provider Demographics
NPI:1114506417
Name:HOHMANN, DEBRA (NP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:HOHMANN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:JACQUES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 BARN RD
Mailing Address - Street 2:
Mailing Address - City:BELVEDERE TIBURON
Mailing Address - State:CA
Mailing Address - Zip Code:94920-2392
Mailing Address - Country:US
Mailing Address - Phone:209-996-3252
Mailing Address - Fax:
Practice Address - Street 1:2 BARN RD
Practice Address - Street 2:
Practice Address - City:BELVEDERE TIBURON
Practice Address - State:CA
Practice Address - Zip Code:94920-2392
Practice Address - Country:US
Practice Address - Phone:209-996-3252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017059363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily