Individual
MS. STEPHANIE L HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMNNP-BC
Contact information
Practice address
4494 HIGHWAY 15, LOUIN, MS 39338
(404) 285-6896
(228) 232-0891
Mailing address
4494 HIGHWAY 15, LOUIN, MS 39338
(404) 285-6896
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904568
MS
Other
Enumeration date
09/27/2021
Last updated
08/16/2024
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