Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Mallorie Hogan, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1164188900

Miss. Mallorie Hogan, FNP-BC is a Nurse Practitioner in Folsom, California. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1631 Creekside Dr
Folsom, CA 95630-3820
Phone: (916) 250-0377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95018019 (CA)

Record details

NPI number1164188900
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedNovember 16, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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