Individual
LOGAN RAE MUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2700 S BROAD ST, NEW ORLEANS, LA 70125-1953
(504) 821-9211
(504) 371-5162
Mailing address
1125 N TONTI ST, NEW ORLEANS, LA 70119-3598
(504) 821-9211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224405
LA
Other
Enumeration date
03/14/2022
Last updated
03/02/2026
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