Individual
KELLEY RENEE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
573 CARTHAGE BYP, CARTHAGE, TN 37030-1573
(615) 486-6178
(615) 486-6179
Mailing address
427 WATERBROOK DR, MOUNT JULIET, TN 37122-4252
(615) 972-0077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17924
TN
Other
Enumeration date
01/27/2014
Last updated
05/28/2025
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