Individual
JOCELYN POGUE KON
Active
Individual
JOCELYN POGUE KON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688796
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
20171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902862170
MEDI CAL
CA
01
—
RN688796
MEDI CAL
CA
Enumeration date
09/03/2010
Last updated
04/24/2015
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