Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY NICOLE LOGAN, NP
ActiveTIFFANY NICOLE LOGAN, NP is a Primary Care Nurse Practitioner healthcare provider located in CHAMPAIGN, Illinois. NPI 1790359495 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1790359495
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2021 (5.255566488193 yrs)
- Last Updated
- Dec 8, 2022
- License
-
209.021232 (IL)
Practice Information
- Address
-
1701 CURTIS RDCHAMPAIGN, IL, 618229678Browse IL providers · Browse ZIP 61822
- Phone
- 2173656201
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| ALICIA BROWN | NP | 1356057228 |
| BRITTNEY HEIMBURGER | — | 1700754645 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.