Individual provider · Type 1 NPI
Jennifer Leigh Logan, NP
Primary Care Nurse Practitioner · Detroit, MI
NPI number
1487102034
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704257643 (MI) |
| Gerontology Nurse Practitioner | 363LG0600X | 4704257643 (MI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704257643 (MI) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1487102034
Jennifer Leigh Logan, NP's National Provider Identifier is 1487102034, issued on Sep 12, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Detroit, MI. The record was last updated on Feb 15, 2021.