Jessica Lynn Logan, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4020429 Issued in KY

Practice address

95 Bryan Blvd
Corbin, KY 40701-2788

Phone

(606) 524-2077

NPI assigned

Jun 7, 2024

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

State licenses

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1801638234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 SCUFFLETOWN RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017921",
            "telephone_number": "606-524-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 BRYAN BLVD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012788",
            "telephone_number": "606-524-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4020429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jo Linn, BA
• Shannon Michelle Lipsteuer, LMT
• Lisa Ann Maynes First Steps Provider
• Lauren Lockaby, PT, DPT
• Mandy Lockhart, APRN-CNP
• Monica Kaitlyn Logan, PA-C
• Angela Logston-Flannery, LPCC
• Bridget Donell Long, MA
• Lisa N Long, FNP-BC
• Amber D Longworth-Wolfe, LCSW

• Family Nurse Practitioner in Corbin, KY
• Providers in Corbin, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.