Individual
MRS. LOGAN TUCKER HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1800 BUCKNER ST STE C120, SHREVEPORT, LA 71101-4453
(318) 227-8899
(318) 425-3793
Mailing address
1800 BUCKNER ST STE C120, SHREVEPORT, LA 71101-4453
(318) 227-8899
(318) 425-3793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
212916
LA
Other
Enumeration date
08/05/2025
Last updated
08/07/2025
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