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Mary J Logsdon, NP-C
Family Nurse Practitioner in Quincy, Illinois
NPI 1174765291

Mary J Logsdon is a Family Nurse Practitioner based in Quincy, IL and is specialized in Family. Mary J Logsdon practices in Quincy, IL and has the professional credentials of NP-C. The NPI Number for Mary J Logsdon is 1174765291 and holds a License No. 145910 (Illinois).

The current practice location address for Mary J Logsdon is 927 Broadway St, Quincy, IL and can be reached out via phone at 217-224-6423 and via fax at 217-214-5888.

Location: 927 Broadway St, Quincy, IL, 62301-2719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174765291
Provider Name
Mary J Logsdon
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
927 Broadway St, Quincy, IL, 62301-2719
Phone Number
217-224-6423
Fax Number
217-214-5888
Provider Enumeration Date
04/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
137710005 01 MO MEDICARE
institution
Provider Business Practice Location Address Details
Address
927 Broadway St
City
Quincy
State
Illinois
Zip
62301-2719
Phone Number
217-224-6423
Fax Number
217-214-5888
person
Provider Business Mailing Address Details
Address
927 Broadway St
City
Quincy
State
Illinois
Zip
62301-2719
Phone Number
217-224-6423
Fax Number
217-214-5888
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
145910 (Missouri)
Definition
Definition to come...
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