Jessica Logue
Jessica Logue is a Nurse Practitioner in Macon, Georgia. Qualified in 2020, 6 years ago. Practices with Central Georgia Gastroenterology, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 6
- Licensed in
- GA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
791 Poplar StMacon, GA 31201-2045
Phone: (478) 755-8838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence RN258772 (GA) |
|---|---|
| Maternal Newborn Registered Nurse | Taxonomy 163WM0102X · Licence RN258772 (GA) |
Record details
| NPI number | 1124645981 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 28, 2020 |
| Last updated in NPPES | July 22, 2020 |
| Certification date | July 22, 2020 |
| Mailing address | 791 Poplar St, Macon, GA 31201-2045 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Central Georgia Gastroenterology, Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |