JENNIFER BOGAN CRNP - NPI 1619339512 - Nurse Practitioner in Birmingham, AL

Q: What is Jennifer Bogan's NPI number?

The NPI number for Jennifer Bogan is 1619339512. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Jennifer Bogan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Bogan was last updated on March 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jennifer Bogan Crnp NPPES

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

JENNIFER BOGAN CRNP (NPI 1619339512) is an individual gerontology provider in Birmingham, Alabama, licensed in Alabama (1-145341) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1619339512

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJENNIFER BOGANCredential: CRNP

Location Address1201 11TH AVE SBirmingham, AL 35205-3423

Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701 · Fax (205) 297-9411

Phone(205) 930-7100

Sole ProprietorYes

Enumeration DateMarch 22, 2016

✔ NPI 1619339512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in AL · 1-145341

1201 11TH AVE S, Birmingham, AL 35205

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANYET BELYEU

Nurse Practitioner (Acute Care)