Penny Carol Logan, ARNP | |
9057 Manchester Hwy, Morrison, TN 37357-5911 | |
(931) 815-8525 | |
(800) 619-7317 |
Full Name | Penny Carol Logan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 9057 Manchester Hwy, Morrison, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710134895 | NPI | - | NPPES |
000000582138 | Other | KY | ANTHEM |
7100061960 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5684P (Kentucky) | Primary |
Entity Name | Shc Medical Partners Of Kentucky, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417132614 PECOS PAC ID: 1153406301 Enrollment ID: O20080312000024 |
Mailing Address | Practice Location Address |
---|---|
Penny Carol Logan, ARNP Po Box 227, Albany, KY 42602-0227 Ph: (606) 387-8336 | Penny Carol Logan, ARNP 9057 Manchester Hwy, Morrison, TN 37357-5911 Ph: (931) 815-8525 |
Sheila Veronica Alexander, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5736 Manchester Hwy, Morrison, TN 37357 Phone: 931-815-3871 | |
Tinsae A Tollesa I, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5736 Manchester Hwy, Morrison, TN 37357 Phone: 931-815-3871 Fax: 931-815-3876 | |
Mrs. Bridget Nicole Vanzant, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5736 Manchester Hwy, Morrison, TN 37357 Phone: 931-815-3871 | |
Austin Watkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5736 Manchester Hwy, Morrison, TN 37357 Phone: 931-815-1212 | |
Brandy Nichole Nokes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5736 Manchester Hwy, Morrison, TN 37357 Phone: 931-815-3871 | |
Mary Annette Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5736 Manchester Hwy, Morrison, TN 37357 Phone: 931-507-1212 |