Individual
MS. JENALYN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(800) 385-3646
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(800) 782-6945
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001000229
NC
Other
Enumeration date
02/02/2006
Last updated
07/07/2016
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