JESSICA L LOGAN

GENESIS HEALTH SYSTEM

Dr JESSICA L LOGAN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

GENESIS HEALTH SYSTEM

306 46TH AVE
EAST MOLINE
IL
612444281

Tel: 3097962329

JESSICA L LOGAN Information

Npi 1033562558
Pac Id 8729372701
Professional Enrollment Id I20160815001116
Last Name LOGAN
First Name JESSICA
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GENESIS HEALTH SYSTEM
Group Practice Pac Id 7214841436
Number Of Group Practice Members 295
Line 1 Street Address 306 46TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST MOLINE
State IL
Zip Code 612444281
Phone Number 3097962329
Hospital Affiliation Ccn 1 140275
Hospital Affiliation Lbn 1 GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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