LOGAN NICOLE THOMAS

JOHNSON CITY, TN
NPI1639835895
Former NameLOGAN CROUCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN  30187)
Enumeration Date2021-11-11
Last Update Date2022-08-10
Business Address
LOGAN NICOLE THOMAS
329 WESLEY ST
JOHNSON CITY, TN 37601-1772
Phone number: 423-631-0055
Mailing Address
LOGAN NICOLE THOMAS
119 EPPERSON ST
ATHENS, TN 37303-3478
Phone number: 423-745-7500