URSULA LOGAN (NPI# 1336503721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336503721 |
| Entity Type | Individual |
| Full Name | URSULA LOGAN |
| Credential | CERT HAIRLOSS SPC |
| Practice Address |
3564 Hickory Hill Rd Memphis TN 38115-3827 |
| Practice Telephone | 9018277778 |
| Mailing Telephone | 9018277778 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
0000079069 | TN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760915813 | Ursula Desha Logan | Registered Nurse | 900 N 7th St, West Memphis, AR 72301-2001 | 2017-04-05 |
| Street Address |
3564 HICKORY HILL RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982215778 | Bontaya Calvin | Specialist | 4305 Harvest Hill Rd, Memphis, TN 38141-6933 | 2020-08-14 |
| 1336767375 | Lakesha Polk | Specialist | 3584 Forrest Ave, Memphis, TN 38122-5123 | 2020-07-07 |
| 1275007262 | Brianna Monique Davison | Specialist | 2725 S Mendenhall Rd Ste 3, Memphis, TN 38115-1530 | 2019-01-14 |
| 1609343862 | Tania N Combs-starks | Specialist | 3147 Frayser Raleigh Rd, Memphis, TN 38128-2716 | 2018-10-25 |
| 1770069684 | Justin Jermaine Green | Specialist | 4412 Elvis Presley Blvd, Memphis, TN 38116-6408 | 2018-07-13 |
| 1336645316 | Cheree Nicole Brown | Specialist | 1391 Elvis Presley Blvd, Memphis, TN 38106 | 2018-03-30 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1972016590 | Stacy Jehan Owens | Specialist | 7505 Us Highway 64 Ste 105, Memphis, TN 38133-8939 | 2017-11-06 |
| 1558800623 | Roshotta Beane | Specialist | 375 N Highland St Apt 2, Memphis, TN 38122-4513 | 2017-02-22 |
| 1588108252 | Stephania Jones | Specialist | 7505 Us Highway 64, Suite 105, Memphis, TN 38133-8947 | 2016-12-14 |
| Find all providers in MEMPHIS | ||||
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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.