Individual provider · Type 1 NPI

Logan Nicole Thomas

Pediatric Nurse Practitioner · Johnson City, TN

NPI number 1639835895 Active

Practice location

329 Wesley St
Johnson City, TN 37601-1772

Mailing address

119 Epperson St
Athens, TN 37303-3478

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X30187 (TN)

Pediatric Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1639835895

Logan Nicole Thomas's National Provider Identifier is 1639835895, issued on Nov 11, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Johnson City, TN. The record was last updated on Aug 10, 2022.