Individual
JENNIFER K MOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
319 JONATHAN CARVER RD, MARQUETTE, MI 49855-5221
(231) 468-1179
Mailing address
319 JONATHAN CARVER RD, MARQUETTE, MI 49855-5221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704326463
MI
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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