Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Marie Logan

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1083454995

Lisa Marie Logan is a Nurse Practitioner in Hershey, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Impact Health PC, a 79-clinician group. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2024

Practice location Address checks out

500 University Dr
Hershey, PA 17033-2360
Phone: (800) 243-1455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence SP029292 (PA)

Record details

NPI number1083454995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address500 University Dr, Hershey, PA 17033-2360

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Impact Health Pc — 79 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Hershey