Most Relevant Information
Provider Data
| NPI Number: | 1003560954 |
| Provider Name: | JAMES LOGAN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN9275298 |
Most Important Dates
| Enumeration Date: | 02/09/2022 |
| Last Updated: | 02/09/2022 |
Provider Practice Location
3251 3RD AVE N
ST PETERSBURG
FL
337138506
Practice Location Phone/Fax
| Phone: | 7274984969 |
| Fax: | 8558965258 |
Provider Mailing Location
3251 3RD AVE N
ST PETERSBURG
FL
337138506
Provider Mailing Phone/Fax
| Phone: | 7274984969 |
| Fax: | 8558965258 |