NPI 1720548944

Jacki Hogan, CNA

Practitioner Home Health Aide Idaho Falls, ID

Practice location

Address: 725 Eve Dr, Idaho Falls, ID 83401-3606
Phone: (208) 390-4432

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence 85-0913687 (ID)

Other Home Health Aide providers in Idaho →

Registry record

NPI: 1720548944
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2019
Record last updated: 30 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.