person
Tiffany Nicole Logan, NP
Primary Care Nurse Practitioner in Champaign, Illinois
NPI 1790359495

Tiffany Nicole Logan is a Primary Care Nurse Practitioner based in Champaign, IL and is specialized in Primary Care. Tiffany Nicole Logan practices in Champaign, IL and has the professional credentials of NP. The NPI Number for Tiffany Nicole Logan is 1790359495 and holds a License No. 209.021232 (Illinois).

The current practice location address for Tiffany Nicole Logan is 1701 Curtis Rd, Champaign, IL and can be reached out via phone at 217-365-6201. You can also correspond with Tiffany Nicole Logan through the mailing address at 2302 BELMORE DR, CHAMPAIGN, IL - 61821 (mailing address contact number: ).

Location: 1701 Curtis Rd, Champaign, IL, 61821
person
Provider Profile Details
NPI Number
1790359495
Provider Name
Tiffany Nicole Logan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1701 Curtis Rd, Champaign, IL, 61821
Phone Number
217-365-6201
Fax Number
Provider Enumeration Date
05/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1701 Curtis Rd
City
State
Zip
61822-9678
Phone Number
217-365-6201
Fax Number
person
Provider Business Mailing Address Details
Address
1701 Curtis Rd
City
State
Zip
61822-9678
Phone Number
217-365-6201
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
209.021232 (Illinois)
Definition
Definition to come...
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