Individual provider · Type 1 NPI

Shannon Nicole Hogan

Family Nurse Practitioner · Elizabeth City, NC

NPI number 1356826705 Active

Practice location

1144 N Road St
Elizabeth City, NC 27909-3473

Mailing address

5112 Clear Lake Cir
Virginia Beach, VA 23464-6028

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X0001270844 (VA)
Family Nurse Practitioner Primary 363LF0000X5011082 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1356826705

Shannon Nicole Hogan's National Provider Identifier is 1356826705, issued on Oct 2, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elizabeth City, NC. The record was last updated on Oct 6, 2018.