Individual
LOGAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 WORTH CIR STE 2, JOHNSON CITY, TN 37601-4306
(423) 262-8006
Mailing address
221 SPRINGVIEW DR, JOHNSON CITY, TN 37615-3350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
31062
TN
Other
Enumeration date
03/10/2022
Last updated
01/05/2024
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