Provider Demographics
NPI:1245029495
Name:ROGERS, AARON JOSEPH (PMHNP)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:JOSEPH
Last Name:ROGERS
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1765 E LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-3993
Mailing Address - Country:US
Mailing Address - Phone:765-236-8380
Mailing Address - Fax:765-236-8088
Practice Address - Street 1:1765 E LINCOLN RD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3993
Practice Address - Country:US
Practice Address - Phone:765-236-8380
Practice Address - Fax:765-236-8088
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28236316A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health