Individual
MS. SCHACARRA ANN OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROVIDER
Contact information
Practice address
9545 WAYNESBORO AVE, JACKSONVILLE, FL 32208-1147
(904) 258-6309
Mailing address
9058 JEFFERSON AVE, JACKSONVILLE, FL 32208-2225
(904) 258-6309
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
234956
FL
376J00000X
Homemaker
Primary
234956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821755389
—
FL
Enumeration date
07/30/2017
Last updated
01/10/2023
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