Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Hogan

Individual provider Licensed Practical Nurse · NPI 1235024639

Jacob Hogan is a Licensed Practical Nurse in Shipshewana, Indiana. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

6520 W 700 N
Shipshewana, IN 46565-8505
Phone: (260) 350-5018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703112739 (MI)

Record details

NPI number1235024639
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025