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Carolyn Jane Bogan, FNP-BC
Family Nurse Practitioner in Irving, Texas
NPI 1770995649

Carolyn Jane Bogan is a Family Nurse Practitioner based in Lorena, TX and is specialized in Family. Carolyn Jane Bogan practices in Irving, TX and has the professional credentials of FNP-BC. The NPI Number for Carolyn Jane Bogan is 1770995649 and holds a License No. 661649 (Texas).

The current practice location address for Carolyn Jane Bogan is 6363 N State Highway 161 Ste 100, Irving, TX and can be reached out via phone at 469-200-3272.

Location: 6363 N State Highway 161 Ste 100, Irving, TX, 76655-9418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770995649
Provider Name
Carolyn Jane Bogan
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
6363 N State Highway 161 Ste 100, Irving, TX, 76655-9418
Phone Number
469-200-3272
Fax Number
Provider Enumeration Date
05/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6363 N State Highway 161 Ste 100
City
Irving
State
Texas
Zip
75038-2239
Phone Number
469-200-3272
Fax Number
person
Provider Business Mailing Address Details
Address
6363 N State Highway 161 Ste 100
City
Irving
State
Texas
Zip
75038-2239
Phone Number
469-200-3272
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
163WP2201X
License No.
AP125985 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
661649 (Texas)
Definition
Definition to come...
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