Individual
STEVONICA J LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 WHITESPORT DR SW STE 103, HUNTSVILLE, AL 35801-6429
(256) 799-2509
(256) 799-2400
Mailing address
400 WHITESPORT DR SW STE 103, HUNTSVILLE, AL 35801-6429
(256) 799-2509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-176787
AL
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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