Provider Demographics
NPI:1750145777
Name:JACQUELINE HOJATI PLLC
Entity type:Organization
Organization Name:JACQUELINE HOJATI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOJATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-252-2552
Mailing Address - Street 1:2633 86TH ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4309
Mailing Address - Country:US
Mailing Address - Phone:515-252-2552
Mailing Address - Fax:515-598-7697
Practice Address - Street 1:2633 86TH ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-4309
Practice Address - Country:US
Practice Address - Phone:515-250-0913
Practice Address - Fax:515-598-7697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty