MS. JENALYN LOGAN (NPI# 1770555054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770555054 |
| Entity Type | Individual |
| Full Name | MS. JENALYN LOGAN |
| Credential | PA-C |
| Practice Address |
40 Duke Medicine Cir Durham NC 27710-4000 |
| Mailing Address |
Po Box 63362 Charlotte NC 28263-3362 |
| Practice Telephone | 8003853646 |
| Mailing Telephone | 8007826945 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2016-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
001000229 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
40 DUKE MEDICINE CIR |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858343 | John M Reynolds | Internal Medicine | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2005-08-11 |
| 1235757659 | Shelby Taylor Matthews | Audiologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-07-13 |
| 1437774155 | Rebecca Lynn Gregory | Dietitian, Registered | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-06-09 |
| 1427673276 | Wendy Wilson Bingham | Dietitian, Registered | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-06-08 |
| 1861014524 | Deborah Anne Zimmerman | Registered Nurse | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-05-15 |
| 1851913131 | Autumn Scales | Speech-Language Pathologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-05-10 |
| 1780204123 | Katherine Conrad | Audiologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-24 |
| 1639708696 | Jaeon Kwak | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-02 |
| 1386272458 | Joi Camille Spaulding | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-01 |
| 1255969887 | Connor Lewis Pratson | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
| 1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1821383878 | Justin Cain Anzalone | Physician Assistant | Duke University Medical Center Dumc 3704, Durham, NC 27710-0001 | 2011-06-16 |
| 1487960209 | Janelle Nichole Murphy | Physician Assistant | Duke Medicine - Duh, Dumc Box 3677, Durham, NC 27710 | 2010-08-31 |
| 1720224496 | Laura Geraghty | Physician Assistant | Dumc 3805, Durham, NC 27710-0001 | 2008-12-30 |
| 1225296825 | William Edward Cockfield | Physician Assistant | 2301 Erwin Rd Rm 7451h, Dumc 3174, Durham, NC 27710-3174 | 2008-05-30 |
| 1922155852 | Christopher John Vail | Physician Assistant | Duke University Hospital 2301 Erwin Rd, Medical Center North Box #3677, Durham, NC 27710-0001 | 2007-01-04 |
| 1164459665 | Kista Kidwell Hurley | Physician Assistant | 508 Fulton St # 112, Durham, NC 27705-3875 | 2006-06-28 |
| 1720048705 | Debra C Holmes | Physician Assistant | Dvamc Surg 112 A5004, 508 Fulton Street, Durham, NC 27705 | 2006-03-24 |
| Find all providers in DURHAM | ||||
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| 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.