Logan Spencer McCarthy, APRN
Nurse Practitioner, Psych/Mental Health in New Tazewell, TN. Individual provider (NPI-1).
NPI number1508200437
StatusActive
Last updated in NPPESJul 31, 2019
Details
- NPI
- 1508200437
- Entity type
- Individual (NPI-1)
- Name
- Mr. Logan Spencer McCarthy
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2013
- Last updated
- Jul 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 0000017553 | TN | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 76170 | KS |
Practice location
424 N Broad StNew Tazewell, TN 37825-6606
Phone 423-869-7193
Mailing address
Po Box 367Harrogate, TN 37752-0367
Phone 423-869-7193 · Fax 423-869-7195
Other practice locations
403 N State Of Franklin Rd
Johnson City, TN 37604-6034
Johnson City, TN 37604-6034
Phone 423-431-7047 · Fax 423-979-0569
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