Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK BOGART JR., CRNP
ActiveMR. JACK BOGART JR., CRNP is a Acute Care Nurse Practitioner healthcare provider located in LEWISBURG, Pennsylvania. NPI 1790066223 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · LEWISBURG, PA
Registration Details
- NPI Number
- 1790066223
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2011 (14.995026532505 yrs)
- Last Updated
- Nov 28, 2025
- Licenses
-
SP011577 (PA)SP011577 (PA)
Practice Information
- Address
-
3 HOSPITAL DR STE 206LEWISBURG, PA, 178379394Browse PA providers · Browse ZIP 17837
- Phone
- 5705244141
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
- Additional Specialty
- Acute Care Nurse Practitioner
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.