person
Amy L Logan, FNP
Family Nurse Practitioner in Springfield, Missouri
NPI 1215171368

Amy L Logan is a Family Nurse Practitioner based in Springfield, MO and is specialized in Family. Amy L Logan practices in Springfield, MO and has the professional credentials of FNP. The NPI Number for Amy L Logan is 1215171368 and holds a License No. 149749 (Missouri).

The current practice location address for Amy L Logan is 3231 S National Ave, Springfield, MO and can be reached out via phone at 417-890-4132 and via fax at 417-890-4140.

Location: 3231 S National Ave, Springfield, MO, 65801-2580
person
Provider Profile Details
NPI Number
1215171368
Provider Name
Amy L Logan
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3231 S National Ave, Springfield, MO, 65801-2580
Phone Number
417-890-4132
Fax Number
417-890-4140
Provider Enumeration Date
04/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
191965758 05 AR
431560263 01 MO TRICARE
P01036352 01 MO RR MCR
1215171368 05 MO
institution
Provider Business Practice Location Address Details
Address
3231 S National Ave
City
State
Zip
65807-7304
Phone Number
417-890-4132
Fax Number
417-890-4140
person
Provider Business Mailing Address Details
Address
3231 S National Ave
City
State
Zip
65807-7304
Phone Number
417-890-4132
Fax Number
417-890-4140
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
149749 (Missouri)
Definition
Definition to come...
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