JENNIFER LOGAN (NPI# 1194335620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194335620 |
| Entity Type | Individual |
| Full Name | JENNIFER LOGAN |
| Credential | DNP |
| Practice Address |
424 Scotts Way Augusta GA 30909-3135 |
| Practice Telephone | 7066273090 |
| Mailing Telephone | 7066273090 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
249421 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124370226 | Jennifer D Logan | Counselor | 103 Appaloosa Cir, Goodfield, IL 61742-9300 | 2012-10-12 |
| 1598039984 | Jennifer Dawn Logan | Registered Nurse | 1706 N Semoran Blvd Ste 100, Orlando, FL 32807 | 2012-03-02 |
| 1861763948 | Jennifer Rose Logan | Counselor | 316 Chadwick Pl, Helena, AL 35080-3141 | 2012-01-20 |
| 1457344376 | Jennifer Coleman Logan | Family Medicine | 241b Freedom Way, Jacksonville Va Cboc, Jacksonville, NC 28544-1418 | 2005-08-25 |
| 1427051671 | Jennifer P Logan | Ophthalmology | 6715 Antigua Dr, Fort Collins, CO 80525-9433 | 2005-05-23 |
| 1184138539 | Jennifer Logan | Student in an Organized Health Care Education/Training Program | 405 Main St Fl 1, Danbury, CT 06810-4710 | 2017-11-21 |
| 1639620768 | Jennifer L Logan | Dietitian, Registered | 1701 4th St Ste 210, Santa Rosa, CA 95404-3661 | 2016-10-24 |
| 1487102034 | Jennifer Leigh Logan | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2016-09-12 |
| 1831582667 | Jennifer A Logan | Dietitian, Registered | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 | 2015-03-18 |
| 1184043903 | Jennifer Kristin Logan | Radiology | 1400 S Orange Ave, Orlando, FL 32806-2134 | 2014-04-09 |
| Street Address |
424 SCOTTS WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396849980 | Larry Clifford Sexton | Nurse Practitioner | 841 Riverside Dr., Augusta, ME 04330 | 2006-09-12 |
| 1154977635 | Andaria Crespi | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-12 |
| 1316592892 | Demetra Keith | Nurse Practitioner | 250 Arsenal St, Augusta, ME 04330-5742 | 2019-08-01 |
| 1730732967 | Jorie W Ohlson | Nurse Practitioner | 250 Arsenal St, Augusta, ME 04330-3599 | 2019-07-17 |
| 1083176937 | Deborah Stewart | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-04-01 |
| 1699261487 | Latasha R Ford | Nurse Practitioner | 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2018-07-05 |
| 1013360791 | Pamela Slaughter | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2016-07-19 |
| 1396111282 | Anthony Onoh | Nurse Practitioner | 1 Freedom Way, Augusta, GA 30904 | 2015-08-14 |
| 1821430794 | Vicky Maureen Packard | Nurse Practitioner | 66 Stone St, Augusta, ME 04330-5227 | 2013-07-22 |
| 1497031785 | Bobby Morton | Nurse Practitioner | 1 Va Ctr, Augusta, ME 04330-6719 | 2011-10-31 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.