person
Mr. Logan Cook, FNP
Family Nurse Practitioner in Kingsport, Tennessee
NPI 1982080719

Logan Cook is a Family Nurse Practitioner based in Kingsport, TN and is specialized in Family. Logan Cook practices in Kingsport, TN and has the professional credentials of FNP. The NPI Number for Logan Cook is 1982080719 and holds a License No. 0024174236 (Tennessee).

The current practice location address for Logan Cook is 2205 Pavilion Dr, Kingsport, TN and can be reached out via phone at 423-857-7650 and via fax at 423-857-7655.

Location: 2205 Pavilion Dr, Kingsport, TN, 37660-4641
person
Provider Profile Details
NPI Number
1982080719
Provider Name
Logan Cook
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
2205 Pavilion Dr, Kingsport, TN, 37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
Provider Enumeration Date
08/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982080719 05 VA
Q016246 05 TN
institution
Provider Business Practice Location Address Details
Address
2205 Pavilion Dr
City
State
Zip
37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
person
Provider Business Mailing Address Details
Address
2205 Pavilion Dr
City
State
Zip
37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024174236 (Virginia)
Definition
Definition to come...
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