Provider Demographics
NPI:1679930838
Name:HOFFMAN, JO C (AGACNP)
Entity Type:Individual
Prefix:
First Name:JO
Middle Name:C
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 MEADOWLARK LN
Mailing Address - Street 2:
Mailing Address - City:SHADY SHORES
Mailing Address - State:TX
Mailing Address - Zip Code:76208-5712
Mailing Address - Country:US
Mailing Address - Phone:972-809-9975
Mailing Address - Fax:
Practice Address - Street 1:3537 S I 35 E STE 305
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6803
Practice Address - Country:US
Practice Address - Phone:940-384-4599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129528363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care