Healthcare Provider Details

I. General information

NPI: 1972427326
Provider Name (Legal Business Name): LOGAN N CARNEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 SW 20TH CT
OCALA FL
34471-1395
US

IV. Provider business mailing address

2405 SW 20TH CT
OCALA FL
34471-1395
US

V. Phone/Fax

Practice location:
  • Phone: 352-875-1424
  • Fax:
Mailing address:
  • Phone: 352-875-1424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH1100X
TaxonomyHolistic Clinical Nurse Specialist
License NumberRN9566078
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: