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Jennifer Lynn Logan, DNP,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Grovetown, Georgia
NPI 1194335620

Jennifer Lynn Logan is a Psychiatric/Mental Health Nurse Practitioner based in Grovetown, GA and is specialized in Psychiatric/Mental Health. Jennifer Lynn Logan practices in Grovetown, GA and has the professional credentials of DNP,PMHNP. The NPI Number for Jennifer Lynn Logan is 1194335620 and holds a License No. 249421 (Georgia).

The current practice location address for Jennifer Lynn Logan is 4039 Gateway Blvd, Grovetown, GA and can be reached out via phone at 706-432-6866.

Location: 4039 Gateway Blvd, Grovetown, GA, 30813-3389
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194335620
Provider Name
Jennifer Lynn Logan
Credential
DNP,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
4039 Gateway Blvd, Grovetown, GA, 30813-3389
Phone Number
706-432-6866
Fax Number
Provider Enumeration Date
08/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4039 Gateway Blvd
City
Grovetown
State
Georgia
Zip
30813-3389
Phone Number
706-432-6866
Fax Number
person
Provider Business Mailing Address Details
Address
4039 Gateway Blvd
City
Grovetown
State
Georgia
Zip
30813-3389
Phone Number
706-432-6866
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
249421 (Georgia)
Definition
Definition to come...
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