Individual provider · Type 1 NPI
Jennifer Bogan, CRNP
Gerontology Nurse Practitioner · Birmingham, AL
NPI number
1619339512
Active
Practice location
1201 11th Ave S
Birmingham, AL 35205-3423
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1-145341 (AL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1619339512
Jennifer Bogan, CRNP's National Provider Identifier is 1619339512, issued on Mar 22, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Birmingham, AL. The record was last updated on Mar 22, 2016.