Individual provider · Type 1 NPI
Mark Matteson Fogg, DCNP, FNP, APRN
Primary Care Nurse Practitioner · Trinity, FL
NPI number
1194123729
Active
Practice location
1019 Flora Vista St
Trinity, FL 34655-7025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | APRN2794242 (FL) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Trinity
About NPI 1194123729
Mark Matteson Fogg, DCNP, FNP, APRN's National Provider Identifier is 1194123729, issued on Dec 14, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Trinity, FL. The record was last updated on Dec 24, 2025.