Individual
MRS. DANA MICHELLE LOGSDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
108 CEMETERY RD, LEBANON, KY 40033-1827
(270) 692-2569
Mailing address
727 W. MAIN ST., LEBANON, KY 40033
(270) 692-2569
(270) 692-9987
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3005073
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3005073P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100236800
—
KY
Enumeration date
03/05/2008
Last updated
09/01/2022
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