Doctor Name: | MRS. MELISSA HARP LOGSDON |
NPI Number: | 1902247992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3008163 |
Business Practice Address: | 1134 Main St Munfordville, KY - 427659432 |
Business Phone Number: | 2705243641 |
Business Fax Number: | 2705247595 |
Mailing Address: | P.o. Box 340, 1134 Main Street MUNFORDVILLE |
State: | KY |
Postal Code: | 427659432 |
Phone Number: | 2705243641 |
Fax Number: | 2705247595 |
NPI Enumeration Date: | 07/08/2013 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3008163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |