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

Mr. Jeremy D Logsdon, CNP-FAMILY

Individual provider Family Nurse Practitioner · NPI 1013574789

Mr. Jeremy D Logsdon, CNP-FAMILY is a Nurse Practitioner in Alva, Oklahoma. Qualified in 2019, 7 years ago. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2019

Practice location Address checks out

604 Choctaw St
Alva, OK 73717-1626
Phone: (580) 327-1118
Fax: (580) 327-3067
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 86008 (OK)

Record details

NPI number1013574789
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP-FAMILY
Sole proprietorNo
NPI enumeratedMay 28, 2019
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Alva