Individual
AMY A LOGSDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1002 WISHARD BLVD, INDIANAPOLIS, IN 46202-2872
(317) 948-0061
(317) 948-7577
Mailing address
1002 WISHARD BLVD, INDIANAPOLIS, IN 46202-2872
(317) 948-0061
(317) 948-7577
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
28155957A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28155957A
INDIANA STATE BOARD OF NURSING REGISTERED NURSE LICENSE
IN
Enumeration date
07/21/2020
Last updated
11/27/2023
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