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

Mr. Rickey Logan Jr., PNP

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1417309824

Mr. Rickey Logan Jr., PNP is a Critical Care Pediatric Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

550 1st Ave
New York, NY 10016-6402
Phone: (513) 706-8109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence 382652 (NY)

Record details

NPI number1417309824
Entity typeIndividual (Type 1)
GenderMale
Credentials PNP
Sole proprietorYes
NPI enumeratedJuly 8, 2016
Last updated in NPPESJuly 8, 2016

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