Jacki Hogan, CNA

NPI #1720548944 in Idaho Falls, Idaho

Provider Information

NPI Number: 1720548944
Entity Type: Individual
Name: Jacki Hogan, CNA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Credential: CNA
Enumeration Date: Mar 22, 2019
Last Updated: Aug 30, 2020

Practice Location

Address: 725 EVE DR
City: Idaho Falls
State: Idaho
ZIP Code: 83401-3606
Phone: (208) 390-4432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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Organizations

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