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Individual

JAKE COGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1540 SPRING VALLEY DR., HUNTINGTON, WV 25704
(304) 429-6741
Mailing address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9501
(740) 202-9119

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4028103
KY

Other

Enumeration date
10/23/2024
Last updated
09/29/2025
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