Penny Carol Logan in Morrison - Nurse Practitioner

Penny Carol Logan - NPI 1710134895

Penny Carol Logan is a Nurse Practitioner in Morrison, Tennessee. Penny Carol Logan practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Penny Carol Logan is 1710134895. The last update date is 2014-09-18.

Penny Carol Logan's current location address is 9057 Manchester Hwy, Morrison, Tennessee. You can contact this provider via phone number 9318158525 and fax number 8006197317. The mailing address for Penny Carol Logan is 9057 Manchester Hwy, Morrison, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Penny Carol Logan
Address 9057 Manchester Hwy, Morrison, Tennessee
Phone Number 9318158525
Fax Number 8006197317
Sole Proprietor Y
Credentials ARNP

NPI Number Detail

NPI Number 1710134895
Provider Enumeration Date 2008-08-20
Last Updated Date 2014-09-18

Provider Mailing Address Detail

Address 9057 Manchester Hwy
City Morrison
State Tennessee (TN)
Post Code 373575911
Phone Number 9318158525
Fax Number 8006197317

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 5684P
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
582138 KY ANTHEM
7100061960 KY --

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FAQs about Penny Carol Logan

What is the Penny Carol Logan's unique identification number?

The Penny Carol Logan has been assigned the NPI (National Provider Identifier) Number 1710134895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Penny Carol Logan is located?

The Penny Carol Logan is situated at the following address: 9057 Manchester Hwy, Morrison, TN, 373575911.

What is Penny Carol Logan's area of expertise and its corresponding taxonomy classification?

The Penny Carol Logan's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710134895 to Penny Carol Logan?

The Centers for Medicare & Medicaid Services originally issued the 1710134895 to Penny Carol Logan on 2008-08-20.

As of what date was the information regarding Penny Carol Logan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Penny Carol Logan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-09-18.

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