Individual provider · Type 1 NPI

Ebony Logan

Student in an Organized Health Care Education/Training Program · Muncie, IN

NPI number 1396368403 Active

Practice location

3700 W Kilgore Ave
Muncie, IN 47304-4810

Call (765) 289-5437 Map

Mailing address

3701 Shelby St Apt 423
Indianapolis, IN 46227-3413

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396368403

Ebony Logan's National Provider Identifier is 1396368403, issued on May 22, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Muncie, IN. The record was last updated on May 22, 2020.