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Kathleen L Logue, APRN
Family Nurse Practitioner in Port St Joe, Florida
NPI 1902460512

Kathleen L Logue is a Family Nurse Practitioner based in Panama City, FL and is specialized in Family. Kathleen L Logue practices in Port St Joe, FL and has the professional credentials of APRN. The NPI Number for Kathleen L Logue is 1902460512 and holds a License No. 11001805 (Florida).

The current practice location address for Kathleen L Logue is 401 Cecil G Costin Sr Blvd, Port St Joe, FL and can be reached out via phone at 850-229-1043.

Location: 401 Cecil G Costin Sr Blvd, Port St Joe, FL, 32401-3409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902460512
Provider Name
Kathleen L Logue
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
401 Cecil G Costin Sr Blvd, Port St Joe, FL, 32401-3409
Phone Number
850-229-1043
Fax Number
Provider Enumeration Date
04/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 Cecil G Costin Sr Blvd
City
Port St Joe
State
Florida
Zip
32456-1928
Phone Number
850-229-1043
Fax Number
person
Provider Business Mailing Address Details
Address
401 Cecil G Costin Sr Blvd
City
Port St Joe
State
Florida
Zip
32456-1928
Phone Number
850-229-1043
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11001805 (Florida)
Definition
Definition to come...
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