Provider Demographics
NPI:1588285878
Name:HOKE, LYNDA (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:
Last Name:HOKE
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:ROBINSON
Mailing Address - State:IL
Mailing Address - Zip Code:62454-2432
Mailing Address - Country:US
Mailing Address - Phone:618-553-2510
Mailing Address - Fax:
Practice Address - Street 1:10940 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:IL
Practice Address - Zip Code:62466-4915
Practice Address - Country:US
Practice Address - Phone:618-936-2064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209019881363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health