Provider Demographics
NPI:1285976621
Name:HOSKINS, RHONDA MICHELLE (APRN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:MICHELLE
Last Name:HOSKINS
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:PO BOX 1213
Mailing Address - Street 2:1679 LEFT FORK MASES CREEK ROAD
Mailing Address - City:VIPER
Mailing Address - State:KY
Mailing Address - Zip Code:41774-0213
Mailing Address - Country:US
Mailing Address - Phone:606-216-3713
Mailing Address - Fax:
Practice Address - Street 1:286 US HIGHWAY 23 N
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-8732
Practice Address - Country:US
Practice Address - Phone:606-874-0032
Practice Address - Fax:606-874-0064
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007934363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100245970Medicaid
KY7100245970Medicaid