person
Logan Ballard Harley, FNP
Family Nurse Practitioner in Gastonia, North Carolina
NPI 1265047476

Logan Ballard Harley is a Family Nurse Practitioner based in Atlanta, NC and is specialized in Family. Logan Ballard Harley practices in Gastonia, NC and has the professional credentials of FNP. The NPI Number for Logan Ballard Harley is 1265047476 and holds a License No. 5013548 (North Carolina).

The current practice location address for Logan Ballard Harley is 1381 E Garrison Blvd, Gastonia, NC and can be reached out via phone at 704-864-6006.

Location: 1381 E Garrison Blvd, Gastonia, NC, 30374-4786
person
Provider Profile Details
NPI Number
1265047476
Provider Name
Logan Ballard Harley
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1381 E Garrison Blvd, Gastonia, NC, 30374-4786
Phone Number
704-864-6006
Fax Number
Provider Enumeration Date
09/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5013548 01 NC NORTH CAROLINA BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
1381 E Garrison Blvd
City
State
Zip
28054-5127
Phone Number
704-864-6006
Fax Number
person
Provider Business Mailing Address Details
Address
1381 E Garrison Blvd
City
State
Zip
28054-5127
Phone Number
704-864-6006
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
5013548 (North Carolina)
Definition
Definition to come...
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