Provider Demographics
NPI:1558995589
Name:HOHNEKE, JENNIFER CHRISTINE (AGPCNP-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CHRISTINE
Last Name:HOHNEKE
Suffix:
Gender:F
Credentials:AGPCNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 UNITYPOINT WAY NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-8001
Mailing Address - Country:US
Mailing Address - Phone:319-366-8701
Mailing Address - Fax:319-366-8702
Practice Address - Street 1:ST. LUKE'S TRANSITIONAL CARE CENTER
Practice Address - Street 2:1420 UNITYPOINT WAY
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402
Practice Address - Country:US
Practice Address - Phone:319-366-8701
Practice Address - Fax:319-366-8702
Is Sole Proprietor?:No
Enumeration Date:2020-02-28
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH158107363LC1500X, 363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAH158107OtherIOWA ARNP LICENSE
IAH158107Medicaid
IAH158107OtherINSURANCE