Individual
KAREN LEIGH LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
750 FOX CHASE LN, WINTERVILLE, NC 28590-8579
(434) 660-2887
Mailing address
750 FOX CHASE LN, WINTERVILLE, NC 28590-8579
(434) 660-2887
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024175657
VA
363LP2300X
Primary Care Nurse Practitioner
1007321
TX
Other
Enumeration date
01/09/2018
Last updated
11/04/2023
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