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

Jessica Hogan

Individual provider Physician Assistant · NPI 1083480537

Jessica Hogan is a Physician Assistant in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

259 Mack Ave Ste 2500
Detroit, MI 48201-2427
Phone: (313) 577-1716
Show map & directions

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

Additional practice locations (1)

  • 3901 Beaubien St, Detroit, MI 48201-2119 — (313) 745-5870

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012528 (MI)

Record details

NPI number1083480537
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

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