Provider Demographics
NPI:1740994094
Name:HOOKS, JESSE III
Entity type:Individual
Prefix:MR
First Name:JESSE
Middle Name:
Last Name:HOOKS
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8703 HAMLIN ST
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2806
Mailing Address - Country:US
Mailing Address - Phone:240-388-7633
Mailing Address - Fax:
Practice Address - Street 1:8703 HAMLIN ST
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-2806
Practice Address - Country:US
Practice Address - Phone:240-388-7633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant