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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK MATTESON FOGG, DCNP, FNP, APRN

Active

MARK MATTESON FOGG, DCNP, FNP, APRN is a Primary Care Nurse Practitioner healthcare provider located in TRINITY, Florida. NPI 1194123729 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · TRINITY, FL

Registration Details

NPI Number
1194123729
Provider Type
Individual
Gender
Male
NPI Issued
Dec 14, 2014 (11.697831615153 yrs)
Last Updated
Dec 24, 2025
License
APRN2794242 (FL)

Practice Information

Address
1019 FLORA VISTA ST
TRINITY, FL, 346557025
Browse FL providers · Browse ZIP 34655
Phone
7276983963
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in TRINITY, FL

Name Credential NPI
JENNIFER LEE LEAL A.R.N.P 1164616975
JESSICA ELMORE ARNP 1841749157
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.