Stephanie L Hogan, PMNNP-BC Valid NPI
Individual provider · Psychiatric/Mental Health Nurse Practitioner · Louin, MS
- NPI
- 1982375218
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0808X
- License number
- 904568 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-09-27
- Last updated
- 2024-08-16
Practice location
4494 Highway 15
Louin, MS 39338
(404) 285-6896