Individual provider · Type 1 NPI
Jacqueline M. Hoogervorst, AG-ACNP
Acute Care Nurse Practitioner · Moreno Valley, CA
NPI number
1699481887
Active
Practice location
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Mailing address
33034 Clairette Ct
Winchester, CA 92596-4523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 784279 (CA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95024083 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1699481887
Jacqueline M. Hoogervorst, AG-ACNP's National Provider Identifier is 1699481887, issued on Jan 30, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Moreno Valley, CA. The record was last updated on Jan 30, 2023.