Individual
MRS. ELAINA CUBINE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
PRIMARY CARE PEDIATRICS, 8222 HWY 51 N, MILLINGTON, TN 38053
(901) 873-4242
(901) 873-4269
Mailing address
8222 HWY 51 N, MILLINGTON, TN 38053
(901) 873-4242
(901) 873-4269
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
23831
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
APN023831
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035883
—
TN
Enumeration date
04/04/2018
Last updated
07/29/2022
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