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JACOB HOGAN
NPI 1235024639
Licensed Practical Nurse in Shipshewana, IN

Active since June 09, 2025
6520 W 700 N, SHIPSHEWANA, IN 46565(260) 350-5018 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Hogan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB HOGAN (NPI 1235024639) is an individual licensed practical nurse in Shipshewana, Indiana, licensed in Michigan (4703112739) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1235024639
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJACOB HOGAN
Location Address6520 W 700 NShipshewana, IN 46565-8505
Mailing Address6520 W 700 NShipshewana, IN 46565-8505 · (260) 350-5018
Phone(260) 350-5018
Sole ProprietorNo
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1235024639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703112739
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
6520 W 700 N, Shipshewana, IN 46565
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Hogan's NPI number?

The NPI number for Jacob Hogan is 1235024639. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Jacob Hogan located?

Jacob Hogan practices at 6520 W 700 N, Shipshewana, IN 46565. The listed phone number is (260) 350-5018.

What is Jacob Hogan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacob Hogan was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.