Provider Demographics
NPI:1922533538
Name:HOHEISEL, STEPHANIE J (DNP, RN, CCRN)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:J
Last Name:HOHEISEL
Suffix:
Gender:F
Credentials:DNP, RN, CCRN
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:J
Other - Last Name:HOHEISEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, RN, CCRN
Mailing Address - Street 1:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5131 BEACON HILL RD STE 220B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-4442
Practice Address - Country:US
Practice Address - Phone:614-544-1555
Practice Address - Fax:614-533-0052
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.390581163W00000X
IL209.015858363LP2300X
OHAPRN.CNP.0028005363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse