Individual
MR. JEREMY D LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP- FAMILY
Contact information
Practice address
604 CHOCTAW ST, ALVA, OK 73717-1626
(580) 327-1118
(580) 327-3067
Mailing address
604 CHOCTAW ST, ALVA, OK 73717-1626
(580) 327-1118
(580) 327-3067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
86008
OK
Other
Enumeration date
05/28/2019
Last updated
12/28/2022
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