Provider Demographics
NPI:1366324865
Name:MIDLIFE HEALTH AND WELLNESS
Entity type:Organization
Organization Name:MIDLIFE HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:903-490-0247
Mailing Address - Street 1:240 MATTHEWS DR APT C43
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-9699
Mailing Address - Country:US
Mailing Address - Phone:903-490-0247
Mailing Address - Fax:
Practice Address - Street 1:240 MATTHEWS DR APT C43
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-9699
Practice Address - Country:US
Practice Address - Phone:903-490-0247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty