Individual
MRS. EMILY KYLE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
1300 WESLEY DR, MEMPHIS, TN 38116-6499
(901) 516-3700
Mailing address
4806 BAKERSFIELD DR, NESBIT, MS 38651-6013
(901) 490-7046
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
226014
AR
363L00000X
Nurse Practitioner
Primary
APN0000027176
TN
Other
Enumeration date
03/25/2020
Last updated
04/12/2024
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