Individual
JESSICA LEANNE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
613 23RD ST STE G30, ASHLAND, KY 41101-2881
(606) 327-0036
(606) 326-1159
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-9571
(606) 408-6061
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4007909
KY
Other
Enumeration date
10/30/2023
Last updated
11/07/2024
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