MS. Jacqueline R Hogan, MSN, CNP

NPI #1679561492 in Defiance, Ohio

Provider Information

NPI Number: 1679561492
Entity Type: Individual
Name: MS. Jacqueline R Hogan, MSN, CNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: MSN, CNP
Enumeration Date: Oct 6, 2005
Last Updated: Jul 15, 2015

Practice Location

Address: 1200 RALSTON AVENUE
City: Defiance
State: Ohio
ZIP Code: 43512-1396
Phone: (419) 783-5655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner	363L00000X	Primary

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