Individual provider · Type 1 NPI
Kimberly Lacynthia Logan, APRN
Family Nurse Practitioner · Chatsworth, GA
NPI number
1417147463
Active
Practice location
1440 Jackson Lake Rd
Chatsworth, GA 30705-4109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 9166317 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | 9166317 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1417147463
Kimberly Lacynthia Logan, APRN's National Provider Identifier is 1417147463, issued on Jul 26, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chatsworth, GA. The record was last updated on Sep 13, 2021.