Logan, Alesha Nicole

Logan, Alesha Nicole is an individual health care provider with primary practice located at 1895 Hoffman Rd Ste A , Gastonia NC 28054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Logan, Alesha Nicole can be contacted via phone (704) 865-1749.

Contact Information

Primary practice address
1895 Hoffman Rd Ste A Gastonia NC 28054
Phone: (704) 865-1749
Fax: (704) 865-7328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005545A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 233239 North Carolina

Profile Details

NPI number 1922481894
LBN Legal business name Logan, Alesha Nicole
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2015
Last updated May 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922481894 NPPES
Indiana MEDICAID 201300410
Indiana Other P01512421

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