Jenna Logan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F356918 Issued in NY

Practice address

909 W 1St St S
Fulton, NY 13069-5050

Phone

(315) 598-6785

NPI assigned

Jun 23, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: npjlogan@riverviewpediatrics.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River View Pediatrics, PC

  • Pediatric Adolescent Medicine Physician
  • Fulton, NY
  • NPI 1831401850
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1508753351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 LAMSON RD",
            "city": "PHOENIX",
            "state": "NY",
            "postal_code": "131359014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W 1ST ST S",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130695050",
            "telephone_number": "315-598-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JENNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee M Lewis, LPN
• Liberty Resources, Inc.
• Liberty Resources, Inc.
• Melanie Lynn Licatese, MSW
• Lisa Lin Lisi
• Joanne Lomber, FNP
• Juan E Lopez-Rosario, DMD
• Nicole Loveless, RN,LENS PRACTITIONER
• Esther Lubinga, MD
• Rachel Lubinga

• Family Nurse Practitioner in Fulton, NY
• Providers in Fulton, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.