| NPI | 1891289674 |
|---|---|
| Former Name | JESSIE MARIE HOGEBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023804) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 20188105) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.023804) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2024-03-15 |