Individual
MR. LOGAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2011 2ND ST, RICHLANDS, VA 24641-2305
(276) 345-9900
(276) 345-9901
Mailing address
324 LAUREL CYN, JOHNSON CITY, TN 37615-4778
(423) 782-6845
(423) 461-0000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024174236
VA
363LF0000X
Family Nurse Practitioner
Primary
20243
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982080719
—
VA
05
—
Q016246
—
TN
Enumeration date
08/04/2015
Last updated
06/23/2026
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