Healthcare Provider Details

I. General information

NPI: 1235950700
Provider Name (Legal Business Name): EMILY LOGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 RIVERSIDE DR STE 302
FRANKLIN TN
37064-5393
US

IV. Provider business mailing address

377 RIVERSIDE DR STE 302
FRANKLIN TN
37064-5393
US

V. Phone/Fax

Practice location:
  • Phone: 615-667-8685
  • Fax: 615-235-1318
Mailing address:
  • Phone: 615-667-8685
  • Fax: 615-235-1318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number37611
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number258616
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: