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Jessica Logan
NPI 1285403824 · on the registry since 2023 · sole proprietor
Practice
- Address
- 200 Nw Avenue M Apt 811
Andrews, TX 79714 - Phone
- (402) 359-3612
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas