Individual
JESSICA MARIE BOGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
304 N RAILROAD ST, SPARLAND, IL 61565-9807
(309) 238-5374
Mailing address
304 N RAILROAD ST, SPARLAND, IL 61565-9807
(309) 238-5374
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
IL
174N00000X
Lactation Consultant (Non-RN)
—
IL
374J00000X
Doula
Primary
—
IL
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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