JILL LOGOTHETIS APRN, CPNP
NPI 1558749796
Nurse Practitioner - Pediatrics in Pensacola, FL
Active since May 07, 2015
About Jill Logothetis Aprn, Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL LOGOTHETIS APRN, CPNP (NPI 1558749796) is an individual pediatrics provider in Pensacola, Florida, licensed in Mississippi (R881494) and active in the NPI registry since May 2015.
NPPES Registry Identity
NPI1558749796
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJILL LOGOTHETISCredential: APRN, CPNP
Location Address1530 AIRPORT BLVDPensacola, FL 32504-8616
Mailing Address1530 Airport BlvdPensacola, FL 32504-8616 · (850) 474-4777
Phone(850) 474-4777
Sole ProprietorYes
Enumeration DateMay 7, 2015
Last NPPES UpdateJanuary 14, 2020
✔ NPI 1558749796 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MS · R881494
1530 AIRPORT BLVD, Pensacola, FL 32504
Other Providers at the Same Location NPPES 4
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 1558749796, enumerated as an "individual" on May 07, 2015.
The provider is located at 1530 AIRPORT BLVD PENSACOLA, FL 32504 and the phone number is (850) 474-4777.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
