LOGAN THOMAS

Nurse Practitioner - Pediatrics

Active Individual
NPI: 1639835895

Practice Address

329 WESLEY ST
Johnson City, TN 37601

Phone: (423) 631-0055

Specialties

Specialty Code Primary License
Nurse Practitioner - Pediatrics 363LP0200X Yes 30187 (TN)

Frequently Asked Questions

NPI 1639835895 is the National Provider Identifier for LOGAN THOMAS, a Nurse Practitioner - Pediatrics provider located in Johnson City, TN. This NPI was enumerated on November 11, 2021.
LOGAN THOMAS practices at 329 WESLEY ST, Johnson City, TN 37601.

Quick Facts

NPI
1639835895
Type
Individual
Enumerated
Nov 11, 2021
Last Updated
Aug 10, 2022

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