Provider Demographics
NPI:1598238487
Name:HOGANS, SHARINA RENEE (HOME HEALTH)
Entity Type:Individual
Prefix:
First Name:SHARINA
Middle Name:RENEE
Last Name:HOGANS
Suffix:
Gender:F
Credentials:HOME HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4024 MONCRIEF RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-3934
Mailing Address - Country:US
Mailing Address - Phone:904-314-8329
Mailing Address - Fax:
Practice Address - Street 1:4024 MONCRIEF RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-3934
Practice Address - Country:US
Practice Address - Phone:904-314-8329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty