Individual
JESSE J LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
186 PROVIDENCE ST, WEST WARWICK, RI 02893-2508
(401) 615-2800
Mailing address
186 PROVIDENCE ST, WEST WARWICK, RI 02893-2508
(401) 767-4100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN79605
RI
363L00000X
Nurse Practitioner
Primary
APRN04184
RI
Other
Enumeration date
02/01/2024
Last updated
08/29/2025
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