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Contact Information

JESSICA LOGAN
1513 LINE AVE STE 315
SHREVEPORT, LA71101
 Phone: 318-221-2828
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for JESSICA LOGAN · (Female)

NPI # 1528514015
Status Active
Credentials
Entity Individual
Enumeration date 08/25/2016
Last updated 05/21/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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