Individual
JESSICA LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1726 DRIPPING SPRING PT, VAN BUREN, AR 72956-8159
(479) 430-1703
Mailing address
PO BOX 7076, VAN BUREN, AR 72956-0123
(479) 430-1703
(479) 763-3229
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L43661
AR
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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