Logan, Tiffany Nicole

Logan, Tiffany Nicole is an individual health care provider with primary practice located at 1701 Curtis Rd , Champaign IL 61822-9678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Logan, Tiffany Nicole can be contacted via phone (217) 365-6201.

Contact Information

Primary practice address
1701 Curtis Rd Champaign IL 61822-9678
Phone: (217) 365-6201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209.021232 Illinois

Profile Details

NPI number 1790359495
LBN Legal business name Logan, Tiffany Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2021
Last updated Dec 8th, 2022 - about 2 years ago

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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