Provider Demographics
NPI:1558833269
Name:HOOVER, JESSICA CLAIRE (PA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:CLAIRE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:364 IRWIN ST NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1510
Mailing Address - Country:US
Mailing Address - Phone:951-795-8774
Mailing Address - Fax:
Practice Address - Street 1:61 WHITCHER ST NE STE 4100
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1181
Practice Address - Country:US
Practice Address - Phone:951-795-8774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-19
Last Update Date:2019-11-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical