Vincent, Carroll Logan

Vincent, Carroll Logan is an individual health care provider with primary practice located at 1997 Highway 51 S Professional Care Services Of West Tn, Inc., Covington TN 38019-3630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Vincent, Carroll Logan can be contacted via phone (901) 476-8967.

Contact Information

Primary practice address
1997 Highway 51 S Professional Care Services Of West Tn, Inc. Covington TN 38019-3630
Phone: (901) 476-8967
Fax: (901) 313-1125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN0000007369 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 111003 Nebraska

Profile Details

NPI number 1255359717
LBN Legal business name Vincent, Carroll Logan
Credentials APN ,PMHNP- BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 7th, 2023 - 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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