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

Logan Nicole Thomas

Individual provider Pediatric Nurse Practitioner · NPI 1639835895

Logan Nicole Thomas is a Pediatric Nurse Practitioner in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021

Practice location Address checks out

329 Wesley St
Johnson City, TN 37601-1772
Phone: (423) 631-0055
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 30187 (TN)

Record details

NPI number1639835895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2021
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022
Mailing address119 Epperson St, Athens, TN 37303-3478

Other providers in Johnson City