Jean Quinn Bogart, L.P.N.
Individual provider Active NPI Licensed Practical Nurse · Potsdam, NY
NPI 1457594202 · NPPES record last updated Apr 9, 2009
Key facts
- NPI
- 1457594202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 087406 (NY)
- Practice address
- 56 Market St
Potsdam, NY 13676-1747 - Phone
- (315) 265-4065
- Fax
- (315) 265-0012
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087406 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services of Northern New York | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 087406 | NY | Yes |
Addresses
Primary practice location
56 Market St
Potsdam, NY 13676-1747
Mailing address
400 Madison Ave
Ogdensburg, NY 13669-2307
Phone (315) 393-0994
Other providers in Potsdam, NY
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- Jaime Byington Bicknell
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- Noel Lawton Bloomfield II
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- Coreen Bohl
- Bridget Bond
- Gwen Lindsey Bonner
- Megan Lyn Boyea
- Emma Brackett
All providers in Potsdam, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.