Karen Logan, LPN
Individual provider Active NPI Licensed Practical Nurse · Byrdstown, TN
NPI 1760813844 · NPPES record last updated Nov 27, 2013
Key facts
- NPI
- 1760813844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 74934 (TN)
- Practice address
- 1013 Woodlawn Dr
Byrdstown, TN 38549-2317 - Phone
- (931) 864-3178
- Fax
- (931) 864-3376
- NPI assigned
- Nov 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74934 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 74934 | TN | Yes |
Addresses
Primary practice location
1013 Woodlawn Dr
Byrdstown, TN 38549-2317
Mailing address
1013 Woodlawn Dr
Byrdstown, TN 38549-2317
Phone (931) 864-3178
Other providers in Byrdstown, TN
- Danielle Goolsby
- HQM of Byrdstown, LLC
- Impact Health LLC
- Sarah Ames Koger
- Katherine Rosser Langenberg
- LP Byrdstown LLC
- Larry Michael Mason
- Pickett County Goverment
- Laura B. Reagan
- Tim Wayne Reagan
All providers in Byrdstown, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.