Individual
DR. JENNIFER LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
519 BLACKBURN DR STE 523, MARTINEZ, GA 30907-8202
(706) 524-7134
Mailing address
519 BLACKBURN DR STE 523, MARTINEZ, GA 30907-8202
(706) 524-7134
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
249421
GA
Other
Enumeration date
08/10/2020
Last updated
10/12/2024
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