Individual
MARISSA HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9438
(870) 892-4467
Mailing address
160 LEXIE LN, POCAHONTAS, AR 72455-8859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004945
AR
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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