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

JACOB HOGAN

Active

JACOB HOGAN is a Licensed Practical Nurse healthcare provider located in SHIPSHEWANA, Indiana. NPI 1235024639 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · SHIPSHEWANA, IN

Registration Details

NPI Number
1235024639
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2025 (0.99224200900656 yrs)
Last Updated
Jun 9, 2025
License
4703112739 (MI)

Practice Information

Address
6520 W 700 N
SHIPSHEWANA, IN, 465658505
Browse IN providers · Browse ZIP 46565
Phone
2603505018
Primary Specialty
Licensed Practical Nurse
164W00000X
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.