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Individual
JACLYN NICOLE BOGGS
Active
Individual
JACLYN NICOLE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
703222
NY
363L00000X
Nurse Practitioner
11045668
FL
363L00000X
Nurse Practitioner
12.018059
CT
363L00000X
Nurse Practitioner
204604
ND
363L00000X
Nurse Practitioner
209.035226
IL
363L00000X
Nurse Practitioner
2681020
ID
363L00000X
Nurse Practitioner
4704441979APP26
MI
363L00000X
Nurse Practitioner
53-85627-081
KS
363L00000X
Nurse Practitioner
A193176
IA
363L00000X
Nurse Practitioner
APN.1001762-NP
CO
363L00000X
Nurse Practitioner
APRN-287365
MT
363L00000X
Nurse Practitioner
APRN-6027
HI
363L00000X
Nurse Practitioner
APRN-RNP337884
AZ
363L00000X
Nurse Practitioner
CNP261398
ME
363L00000X
Nurse Practitioner
LG-0013731
DE
363LF0000X
Family Nurse Practitioner
Primary
348277
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07544998
—
NY
Enumeration date
08/27/2021
Last updated
08/16/2026
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