Individual
JEANNE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
500 UNIVERSITY DR, H073, HERSHEY, PA 17033-2360
(717) 531-8515
Mailing address
29 BRIDGEPORT DR, MECHANICSBURG, PA 17050-7359
(717) 918-1270
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TP003605N
PA
Other
Enumeration date
09/28/2006
Last updated
09/01/2009
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