Individual provider · Type 1 NPI

Jacqueline R. Hogan, MSN, CNP

Nurse Practitioner · Defiance, OH

NPI number 1679561492 Active

Practice location

1200 Ralston Avenue
Defiance, OH 43512-1396

Fax (419) 866-5453

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN110287 (OH)
Family Nurse Practitioner 363LF0000XNP05242 (OH)
Family Nurse Practitioner 363LF0000X4704170468 (MI)
Nurse Practitioner Primary 363L00000XCOA05242NP (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1679561492

Jacqueline R. Hogan, MSN, CNP's National Provider Identifier is 1679561492, issued on Oct 6, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Defiance, OH. The record was last updated on Jul 15, 2015.