Individual
JESSICA LYNN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
95 BRYAN BLVD, CORBIN, KY 40701-2788
(606) 524-2077
Mailing address
1122 SCUFFLETOWN RD, CORBIN, KY 40701-7921
(606) 524-2077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4020429
KY
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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