Individual
JOHNNA SUZANNE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3410 E JOHNSON AVE, JONESBORO, AR 72401-1876
(870) 333-5488
Mailing address
3410 E.JOHNSON ST., JONESBORO, AR 72401
(870) 333-5488
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A005130
AR
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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