JENNA LOGAN FNP-C
NPI 1508753351
Nurse Practitioner - Family in Fulton, NY
Active since June 23, 2025
About Jenna Logan Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA LOGAN FNP-C (NPI 1508753351) is an individual family provider in Fulton, New York, licensed in New York (F356918) and active in the NPI registry since June 2025.
NPPES Registry Identity
NPI1508753351
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNA LOGANCredential: FNP-C
Location Address909 W 1ST ST SFulton, NY 13069-5050
Mailing Address2895 Lamson RdPhoenix, NY 13135-9014
Phone(315) 598-6785
Sole ProprietorNo
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1508753351 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F356918
909 W 1ST ST S, Fulton, NY 13069
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508753351, enumerated as an "individual" on June 23, 2025.
The provider is located at 909 W 1ST ST S FULTON, NY 13069 and the phone number is (315) 598-6785.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
