Individual
JAMIE R. LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5721 W 119TH ST, OVERLAND PARK, KS 66209-3722
(816) 763-5446
Mailing address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
114685
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
54530
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294500A
—
KS
05
—
919813006
—
MO
Enumeration date
12/15/2005
Last updated
04/10/2026
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