Individual provider · Type 1 NPI
Logan Klockner
Nurse Practitioner · Rockford, IL
Practice location
8201 E Riverside Blvd
Rockford, IL 61114-2300
Mailing address
2400 N Rockton Ave
Rockford, IL 61103-3655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209022924 (IL) |
| Registered Nurse | 163W00000X | 041366252 (IL) |
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 1437743432
Logan Klockner's National Provider Identifier is 1437743432, issued on Feb 22, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockford, IL. The record was last updated on Feb 26, 2021.