Individual
JENNIFER VENIER HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
(225) 761-5247
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD.13688R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1424951
—
LA
Enumeration date
07/13/2006
Last updated
08/09/2016
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