Individual
LOGAN DAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MERCHANT DR, KNOXVILLE, TN 37912-3862
(865) 687-2277
Mailing address
5835 WALL FLOWER LN, KNOXVILLE, TN 37924-1599
(423) 360-2383
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000026282
TN
Other
Enumeration date
08/17/2019
Last updated
01/10/2021
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