Provider Demographics
NPI:1861643363
Name:HOTCHKISS, JOANNE (ARNP)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:HOTCHKISS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 SE BAYVIEW TER
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-2113
Mailing Address - Country:US
Mailing Address - Phone:772-528-5382
Mailing Address - Fax:
Practice Address - Street 1:365 SE BAYVIEW TER
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-2113
Practice Address - Country:US
Practice Address - Phone:772-528-5382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2727402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBR356ZMedicare PIN