IndividualActive
Rebekah Bogan, FNP
NPI 1720330608 · Family Nurse Practitioner · Cairo, IL
Provider details
- NPI number
- 1720330608
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 041407232 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
13245 Kessler Rd
Cairo, IL 62914-3101
Phone: (618) 734-4400
Fax: (618) 477-8557
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3008
Carbondale, IL 62902-3008
Registry dates
- Enumerated
- 2012-10-03
- Last updated
- 2021-02-25
- Certified
- 2021-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.