Logue, Jessica

Logue, Jessica is an individual health care provider with primary practice located at 791 Poplar St , Macon GA 31201-2045. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Maternal Newborn, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Logue, Jessica can be contacted via phone (478) 755-8838.

Contact Information

Primary practice address
791 Poplar St Macon GA 31201-2045
Phone: (478) 755-8838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X RN258772 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN258772 Georgia

Profile Details

NPI number 1124645981
LBN Legal business name Logue, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2020
Last updated Jul 22nd, 2020 - about 4 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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