Individual provider · Type 1 NPI

Logan Michael McConnell, SRNA

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1972415404 Active

Practice location

6019 Walnut Grove Rd
Memphis, TN 38120-2113

Mailing address

326 N Sussex Ln Apt 8
Cordova, TN 38018-8042

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972415404

Logan Michael McConnell, SRNA's National Provider Identifier is 1972415404, issued on Sep 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Sep 21, 2026.