Organization · Type 2 NPI
Logan Emergency Group LLC
Nurse Practitioner · Russellville, KY
Practice location
1625 South Nashville Road
Russellville, KY 42276-8834
Mailing address
200 Corporate Blvd, Suite 201
Lafayette, LA 70508-3870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
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…
About NPI 1770534752
Logan Emergency Group LLC's National Provider Identifier is 1770534752, issued on May 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Russellville, KY. The record was last updated on Sep 11, 2025.