MEDICARE: JENNIFER CIARA HOGAN ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	ARNP9282298	FL

General Provider Information

NPI Number	:	1578007068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER CIARA HOGAN ARNP

Provider Business Mailing Address
First Line	:	1845 E CHAPEL DR
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32738-3804
Country	:	US
Telephone Number	:	321-276-8276
Fax Number	:

Provider Business Practice Location Address
First Line	:	1845 E CHAPEL DR
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32738-3804
Country	:	US
Telephone Number	:	321-276-8276
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2016
Last Update Date	:	12/09/2025

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