Individual provider · Type 1 NPI
Stacy Logsdon
Family Nurse Practitioner · Bowling Green, KY
NPI number
1275840548
Active
Practice location
191 West Professional Park Court
Bowling Green, KY 42104
Fax (270) 782-8025
Mailing address
PO Box 1078
Bowling Green, KY 42102-1078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 6563P (KY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275840548
Stacy Logsdon's National Provider Identifier is 1275840548, issued on Sep 8, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bowling Green, KY. The record was last updated on Sep 8, 2010.