JENNIFER LEIGH LOGAN (NPI# 1487102034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487102034 |
| Entity Type | Individual |
| Full Name | JENNIFER LEIGH LOGAN |
| Other Name | JENNIFER LEIGH SWANSON |
| Credential | NP |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Practice Telephone | 3139162600 |
| Mailing Telephone | 3139162600 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704257643 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704257643 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704257643 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
| 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 |
| 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 |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750808648 | Mattie B. Johnson | Nurse Practitioner | 13599 Virgil St, Detroit, MI 48223-3050 | 2017-08-23 |
| 1184176984 | Amanda Marie Allmacher | Nurse Practitioner | 50 E Canfield St Ste 101-s, Detroit, MI 48201-1804 | 2016-10-27 |
| 1144774472 | Angela Jayne Wolf | Nurse Practitioner | 7409 2nd Ave, Apt. A2, Detroit, MI 48202-2700 | 2016-08-03 |
| 1912263914 | Tonia Anitra Willis | Nurse Practitioner | 14102 Saint Marys St, Detroit, MI 48227 | 2012-04-04 |
| 1861624058 | Angela Faye Woodley-williams | Nurse Practitioner | 11260 E Jefferson Ave, Detroit, MI 48214-3320 | 2009-08-20 |
| 1740394055 | Mary Patricia Lange | Nurse Practitioner | 4601 John R, Detroit, MI 48201 | 2006-08-17 |
| 1346848827 | Tanya L Locke | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-10-15 |
| 1720621279 | Rachel Campbell | Nurse Practitioner | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-10-28 |
| 1124679188 | Shanta Nicole Brown | Nurse Practitioner | 16181 Hubbell St, Detroit, MI 48235-4026 | 2019-09-21 |
| 1851866396 | Christopher Childers | Nurse Practitioner | 4160 John R St Ste 930, Detroit, MI 48201-2017 | 2018-10-11 |
| Find all providers in DETROIT | ||||
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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.