Stevonica J Logan, CRNP

NPI #1043917016 in Huntsville, Alabama

Provider Information

NPI Number
1043917016
Entity Type
Individual
Name
Stevonica J Logan, CRNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
CRNP
Enumeration Date
Feb 10, 2023
Last Updated
Feb 10, 2023

Practice Location

Address
400 WHITESPORT DR SW STE 103
State
Alabama
ZIP Code
35801-6429
Phone
(256) 799-2509

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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