Individual provider · Type 1 NPI

Jesse J. Logan, MSN, APRN, FNP-C

Nurse Practitioner · Boston, MA

NPI number 1295598332 Active

Practice location

330 Brookline Ave
Boston, MA 02215-5400

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2340230 (MA)
Registered Nurse 163W00000XRN2340230 (MA)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295598332

Jesse J. Logan, MSN, APRN, FNP-C's National Provider Identifier is 1295598332, issued on Feb 1, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Sep 3, 2026.