Individual
MS. TRACY DAWN LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
160 E REDSTONE AVE, CRESTVIEW, FL 32539-5348
(850) 689-0555
Mailing address
160 E REDSTONE AVE, CRESTVIEW, FL 32539-5348
(850) 689-0555
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3311592
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
4885P
KY
Other
Enumeration date
07/28/2006
Last updated
02/16/2026
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