Provider Demographics
NPI:1629354121
Name:HOKE, JAMI LEA (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:LEA
Last Name:HOKE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JAMI
Other - Middle Name:LEA
Other - Last Name:BENZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1055 N CURTIS RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-1309
Mailing Address - Country:US
Mailing Address - Phone:208-302-0800
Mailing Address - Fax:208-367-6022
Practice Address - Street 1:1055 N CURTIS RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-1309
Practice Address - Country:US
Practice Address - Phone:208-302-0800
Practice Address - Fax:208-367-6022
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPA1599363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant