Provider Demographics
NPI:1033662044
Name:HOOK, JENNIFER JANE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:JANE
Last Name:HOOK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:ALPHA
Mailing Address - State:IL
Mailing Address - Zip Code:61413-0419
Mailing Address - Country:US
Mailing Address - Phone:563-676-1746
Mailing Address - Fax:
Practice Address - Street 1:202 PICARD ST
Practice Address - Street 2:
Practice Address - City:ALPHA
Practice Address - State:IL
Practice Address - Zip Code:61413-5023
Practice Address - Country:US
Practice Address - Phone:563-676-1746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA124420363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily