Provider Demographics
NPI:1881790798
Name:HOSHINO, JEANNINE YUMIKO (RN, ARNP)
Entity type:Individual
Prefix:MS
First Name:JEANNINE
Middle Name:YUMIKO
Last Name:HOSHINO
Suffix:
Gender:F
Credentials:RN, ARNP
Other - Prefix:
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Mailing Address - Street 1:2502 OVERLOOK WAY NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-2028
Mailing Address - Country:US
Mailing Address - Phone:404-805-4137
Mailing Address - Fax:
Practice Address - Street 1:1841 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-4021
Practice Address - Country:US
Practice Address - Phone:404-728-6879
Practice Address - Fax:404-728-6425
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN116543NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAS57445Medicare UPIN