Provider Demographics
NPI:1841810074
Name:HOGGE, ABIGAIL LYNN (MPA, PA-C)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:LYNN
Last Name:HOGGE
Suffix:
Gender:F
Credentials:MPA, PA-C
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:LYNN
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPA, PA-C
Mailing Address - Street 1:817 LINKHORN DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-3920
Mailing Address - Country:US
Mailing Address - Phone:757-651-3013
Mailing Address - Fax:
Practice Address - Street 1:6353 CENTER DR STE 204
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-0001
Practice Address - Country:US
Practice Address - Phone:757-461-3313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0110007610363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program