Logan, Jessica
Logan, Jessica is an individual health care provider with primary practice located at 2779 Volunteer Dr Ste 201 , Galesburg IL 61401-8618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Logan, Jessica can be contacted via phone (309) 345-9400.Contact Information
Primary practice address
2779 Volunteer Dr Ste 201
Galesburg IL 61401-8618
Phone: (309) 345-9400
Fax: (309) 345-9401
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 10005502 | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209-014448 | Illinois |
Profile Details
NPI number | 1033562558 |
---|---|
LBN Legal business name | Logan, Jessica |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2016 |
Last updated | Apr 2nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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