Provider Demographics
NPI:1528492568
Name:HOEHN, NANCY LEE (APRN)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LEE
Last Name:HOEHN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 GEORGE C. WILSON DR.
Mailing Address - Street 2:SUITE A
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909
Mailing Address - Country:US
Mailing Address - Phone:706-364-3292
Mailing Address - Fax:706-364-3229
Practice Address - Street 1:1220 GEORGE C. WILSON DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909
Practice Address - Country:US
Practice Address - Phone:706-364-3292
Practice Address - Fax:706-364-3229
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN069440 NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA504953067AMedicaid