| Mr Jeremy D Logsdon, CNP- FAMILY | |
|
604 Choctaw St, Alva, OK 73717-1626 | |
| (580) 327-1118 | |
| (580) 327-3067 |
| Full Name | Mr Jeremy D Logsdon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 604 Choctaw St, Alva, Oklahoma |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013574789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 86008 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Share Medical Center | Alva, OK | Hospital |
| Integris Bass Baptist Health Center | Enid, OK | Hospital |
| St Mary's Regional Medical Center | Enid, OK | Hospital |
| Entity Name | Alva Health And Wellness Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134827660 PECOS PAC ID: 4486019627 Enrollment ID: O20230424000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy D Logsdon, CNP- FAMILY 604 Choctaw St, Alva, OK 73717-1626 Ph: (580) 327-1118 | Mr Jeremy D Logsdon, CNP- FAMILY 604 Choctaw St, Alva, OK 73717-1626 Ph: (580) 327-1118 |
Bryan Nutter, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Share Dr, Alva, OK 73717 Phone: 580-327-2800 | |
Mrs. Gwyneth Leigh Holderby, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Share Dr, Alva, OK 73717 Phone: 580-327-2800 |