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NPI 1720548944

IndividualActive

Jacki Hogan, CNA

NPI 1720548944 · Home Health Aide · Idaho Falls, ID

Provider details

NPI number: 1720548944
Entity type: Individual
Primary specialty: Home Health AideNursing Service Related Providers
Credential: CNA
Sex: Female
Sole proprietor: Yes
License: 85-0913687 (ID)

Practice location

725 Eve Dr

Idaho Falls, ID 83401-3606

Phone: (208) 390-4432

More ID providers

Mailing address

725 Eve Dr

Idaho Falls, ID 83401-3606

Registry dates

Enumerated: 2019-03-22
Last updated: 2020-08-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jacki Hogan, CNA — NPI 1720548944, Idaho Falls, ID | NPI Central