Logan Nicole Thomas

NPI # 

Practice Address:

329 Wesley St

Johnson City, TN, 37601-1772

Practice Phone:

423-631-0055

License Number:

30187

License State:

TN

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Pediatrics

Taxonomy Code:

363LP0200X

Updated by NPPES on 8/10/2022. You can view the original data set for NPI # 1639835895 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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