JEAN A BOGA

FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES LLC

Dr JEAN A BOGA is a female medical professional, specializing in Nurse Practitioner. She graduated in 1985.

Contact

FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES LLC

3830 S CUSHMAN ST
FAIRBANKS
AK
997017530

Tel: 9074521575

JEAN A BOGA Information

Npi 1063525145
Pac Id 3173601952
Professional Enrollment Id I20080418000305
Last Name BOGA
First Name JEAN
Middle Name A
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1985
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES LLC
Group Practice Pac Id 6406085562
Number Of Group Practice Members 7
Line 1 Street Address 3830 S CUSHMAN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FAIRBANKS
State AK
Zip Code 997017530
Phone Number 9074521575
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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