Individual provider · Type 1 NPI

Lisa Clair Logue, FNP-C

Family Nurse Practitioner · Gainesville, GA

NPI number 1477994804 Active

Practice location

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834

Call (770) 536-2323 Map

Fax (770) 536-4947

Mailing address

300 Waterfront Park Ln
Dawsonville, GA 30534-5775

Specialties and licenses

Taxonomy	Code	License
Oncology Registered Nurse	163WX0200X	RN049489 (GA)
Family Nurse Practitioner Primary	363LF0000X	RN049489 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1477994804

Lisa Clair Logue, FNP-C's National Provider Identifier is 1477994804, issued on Jul 15, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gainesville, GA. The record was last updated on Oct 3, 2023.