MRS. KIMBERLY LOGAN, APRN

Nurse Practitioner - Family

Active Individual
NPI: 1417147463

Practice Address

1440 JACKSON LAKE RD
Chatsworth, GA 30705

Phone: (904) 377-3301

Specialties

Specialty Code Primary License
Nurse Practitioner - Gerontology 363LG0600X No 9166317 (FL)
Nurse Practitioner - Family 363LF0000X Yes 9166317 (FL)

Frequently Asked Questions

NPI 1417147463 is the National Provider Identifier for MRS. KIMBERLY LOGAN, APRN, a Nurse Practitioner - Family provider located in Chatsworth, GA. This NPI was enumerated on July 26, 2007.
MRS. KIMBERLY LOGAN, APRN practices at 1440 JACKSON LAKE RD, Chatsworth, GA 30705.

Quick Facts

NPI
1417147463
Type
Individual
Enumerated
Jul 26, 2007
Last Updated
Sep 13, 2021

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