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Provider Information for 1770916678

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JENNIFER LYNN VOGT N.P.

Other Name:   JENNIFER GRAHAM
Gender: FEMALE

Individual NPI: 1770916678

Calendar   Last Updated:  2013-08-14
  Certification Date: 

Details

Name Value
NPI 1770916678
Enumeration Date 2013-08-14
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1031 SUNCREST DR
LAPEER, MI 48446-1136
United States

Phone: 810-664-4870 | Fax: 810-664-0921
View Map External Link
Primary Practice Address 2222 S LINDEN RD SUITE A
FLINT, MI 48532-5475
United States

Phone: 810-733-0790 | Fax: 810-733-0235
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family MI 4704243797