Ayesha Nicole Logan
CRNP | Nurse Practitioner - Psych/Mental Health
561 Fairthorne Ave, Philadelphia
Pennsylvania, 19128-2412
215-487-4000
Ayesha Nicole Logan is a Philadelphia, Pennsylvania based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Ayesha Nicole Logan is SP032916 for Psych/Mental Health NP in Pennsylvania. Her current practice location is 561 Fairthorne Ave, Philadelphia. Patients can reach her at 215-487-4000. Ayesha Nicole Logan is CRNP with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1134085954.
Ayesha Nicole Logan provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Ayesha Nicole Logan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ayesha Nicole Logan |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Female |
| Credentials: | CRNP |
| Practice Address: | 561 Fairthorne Ave, Philadelphia,
Pennsylvania, 19128-2412 |
| Phone: | 215-487-4000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1134085954 |
| NPI Enumeration Date: | 26 Dec, 2025 |
| NPI Last Update On: | 11 Jan, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ayesha Nicole Logan are as mentioned below.
| License Number | Specialization | State | Status | |
| SP032916 | Psych/Mental Health NP | Pennsylvania | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ayesha Nicole Logan
561 Fairthorne Ave,
Philadelphia, Pennsylvania |
| Zip: | 19128-2412 |
| Phone Number: | 215-487-4000 |
Patients can reach Ayesha Nicole Logan at
561 Fairthorne Ave, Philadelphia, Pennsylvania or can
call to book an appointment on 215-487-4000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.