LETISHA HOGANS


Address: 765 Route 70 E Bldg A-101, Marlton, NJ 08053-2341
Phone: 8567974800

LETISHA HOGANS (NPI# 1043872765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043872765
Entity Type Individual
Full Name LETISHA HOGANS
Credential APN
Practice Address 765 Route 70 E Bldg A-101
Marlton
NJ 08053-2341
Mailing Address 81 Village Green Ln
Sicklerville
NJ 08081-1629
Practice Telephone 8567974800
Mailing Telephone 6094220923
Enumeration Date 2019-07-02
Last Update Date 2020-02-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
26NR16581800 NJ Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
26NJ00994500 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 765 ROUTE 70 E BLDG A-101
City MARLTON
State NJ
Zip Code 08053-2341

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922632520 Folawewo Abiodun Ajayi Nurse Practitioner 750 Route 73 S Ste 105, Marlton, NJ 08053-4142 2020-02-24
1316570393 Debra Aikens Nurse Practitioner 765 Route 70 E # Bdlga100, Marlton, NJ 08053-2341 2020-02-18
1104476381 Bolaji Olatoun Bolarinwa Nurse Practitioner 750 Route 73 S Ste 105a, Marlton, NJ 08053-4142 2019-09-18
1942644786 Natalie Carisa Eisenhower Nurse Practitioner 106 Centre Blvd Ste G, Marlton, NJ 08053-4131 2013-04-23
1598998783 Diane Barbara Deblase Nurse Practitioner 765 E. Route 70 Bldg A, Center for Family Guidance, PC, Marlton, NJ 08053 2009-09-03
1962524983 Kristen M Rone Nurse Practitioner 765 E Route 70 Bldg A, Marlton, NJ 08053-2341 2007-04-03
1740816602 Monique Ruth Day Nurse Practitioner 765 Route 70 E Bldg A, Marlton, NJ 08053-2341 2020-03-22
1366088189 Brandon L Reid Nurse Practitioner 765 Route 70 E Bldg A-100, Marlton, NJ 08053-2341 2019-11-27
1588209035 Macary Henry Nurse Practitioner 765 Route 70 E Bldg A-100, Marlton, NJ 08053-2341 2019-11-07
1770125833 Jennifer Anne O'brien Nurse Practitioner 765 Route 70 E Bldg A-100, Marlton, NJ 08053-2341 2019-10-10
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Competitor

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City MARLTON
Zip Code 08053

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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