Individual
LOGAN FAYE SCOGGINS SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 RIVER MARKET AVE STE 300, LITTLE ROCK, AR 72201-1770
(501) 492-0099
(479) 968-1673
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(855) 498-6767
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214844
AR
363LF0000X
Family Nurse Practitioner
R096117
AR
Other
Enumeration date
03/22/2021
Last updated
06/21/2021
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