Individual
BETTYE BRINSON LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
704 S 5TH ST, COLLINS, MS 39428-4147
(601) 765-4414
(601) 765-9141
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 765-4414
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R623172
MS
363LF0000X
Family Nurse Practitioner
Primary
623172
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114365
—
MS
01
—
7064459
AETNA
MS
01
—
7923884
CIGNA
—
Enumeration date
03/29/2006
Last updated
07/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us