Individual provider · Type 1 NPI
Roxie Mae Hogan, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Memphis, TN
NPI number
1144780826
Active
Practice location
2298 Young Ave
Memphis, TN 38104-5755
Fax (731) 201-5273
Mailing address
20A Thomas Hogan Rd
Alligator, MS 38720-0401
Other practice locations
- 20A Thomas Hogan Rd, Alligator, MS 38720-0401 · (662) 902-1299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95014733 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 29238 (TN) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 205119 (LA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 903125 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1144780826
Roxie Mae Hogan, PMHNP's National Provider Identifier is 1144780826, issued on Mar 20, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Memphis, TN. The record was last updated on Jul 1, 2024.