JENNIFER COLEMAN LOGAN (NPI# 1457344376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457344376 |
| Entity Type | Individual |
| Full Name | JENNIFER COLEMAN LOGAN |
| Credential | MD |
| Practice Address |
241b Freedom Way Jacksonville Va Cboc Jacksonville NC 28544-1418 |
| Practice Telephone | 6192466030 |
| Mailing Telephone | 6192466030 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2011-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2007-00233 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5907908 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
| 1124370226 | Jennifer D Logan | Counselor | 103 Appaloosa Cir, Goodfield, IL 61742-9300 | 2012-10-12 |
| 1598039984 | Jennifer Dawn Logan | Registered Nurse | 1706 N Semoran Blvd Ste 100, Orlando, FL 32807 | 2012-03-02 |
| 1861763948 | Jennifer Rose Logan | Counselor | 316 Chadwick Pl, Helena, AL 35080-3141 | 2012-01-20 |
| 1427051671 | Jennifer P Logan | Ophthalmology | 6715 Antigua Dr, Fort Collins, CO 80525-9433 | 2005-05-23 |
| 1184138539 | Jennifer Logan | Student in an Organized Health Care Education/Training Program | 405 Main St Fl 1, Danbury, CT 06810-4710 | 2017-11-21 |
| 1639620768 | Jennifer L Logan | Dietitian, Registered | 1701 4th St Ste 210, Santa Rosa, CA 95404-3661 | 2016-10-24 |
| 1487102034 | Jennifer Leigh Logan | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2016-09-12 |
| 1831582667 | Jennifer A Logan | Dietitian, Registered | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 | 2015-03-18 |
| 1184043903 | Jennifer Kristin Logan | Radiology | 1400 S Orange Ave, Orlando, FL 32806-2134 | 2014-04-09 |
| Street Address |
241B FREEDOM WAY JACKSONVILLE VA CBOC |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28544-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952848020 | Elizabeth Morales | Behavior Technician | 1001 Churchill Way Apt 2e, Midway Park, NC 28544 | 2017-01-26 |
| 1609245307 | Kristin Aumann | Pharmacist | 1003 Churchill Way Apt 3c, Midway Park, NC 28544 | 2015-09-23 |
| 1205121381 | Nathaniel David Brooks | Pharmacist | 175 Freedom Way, K-mart #3815, Midway Park, NC 28544 | 2011-06-16 |
| 1306048269 | Paul Preston | Military Health Care Provider | 2d Recon Bn 2d Mardiv, Clnc, NC 28544 | 2007-06-04 |
| 1770133712 | Lucille Gillard | Health Educator | 464 White Oak Ln, Midway Park, NC 28544-1239 | 2019-09-11 |
| 1336193499 | Independent Nephrology Services, Inc. | Clinic/Center | 241 Freedom Way, Jacksonville, NC 28544-1418 | 2006-05-20 |
| 1689105603 | Carolinaeast Physicians | Family Medicine | 241 Freedom Way, Jacksonville, NC 28544-1418 | 2017-03-22 |
| 1023569514 | Sadie Coleman Hardison | Audiologist | 241 Freedom Way, Jacksonville, NC 28544-1418 | 2016-10-19 |
| 1154523363 | Christopher Colonel Huffstetler | Orthotist | 241 Freedom Way, Suite 2, Jacksonville, NC 28544-1418 | 2007-06-01 |
| 1598709453 | Melinda Sue Miller | Nurse Practitioner | 241 Freedom Way, Midway Park, NC 28544-1418 | 2006-06-15 |
| Find all providers in zip 28544 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28544 |
Please comment or provide details below to improve the information on JENNIFER COLEMAN LOGAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.