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

Logan Blaze Wilson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1124678305

Logan Blaze Wilson, FNP-C is a Family Nurse Practitioner in Plano, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

6529 W Plano Pkwy Ste D
Plano, TX 75093-8262
Phone: (972) 781-1414
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP143063 (TX)

Record details

NPI number1124678305
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2019
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021

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