Mrs. Kimberly Lacynthia Logan
APRN | Nurse Practitioner - Gerontology
1440 Jackson Lake Rd, Chatsworth
Georgia, 30705-4109
904-377-3301
Mrs. Kimberly Lacynthia Logan is a Chatsworth, Georgia based nurse practitioner who is specialized as Gerontology nurse. Active license number of Mrs. Kimberly Lacynthia Logan is 9166317 for Family in Florida. Her current practice location is 1440 Jackson Lake Rd, Chatsworth. Patients can reach her at 904-377-3301. Mrs. Kimberly Lacynthia Logan is APRN with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1417147463.
Mrs. Kimberly Lacynthia Logan is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Mrs. Kimberly Lacynthia 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: | Mrs. Kimberly Lacynthia Logan |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Credentials: | APRN |
| Practice Address: | 1440 Jackson Lake Rd, Chatsworth,
Georgia, 30705-4109 |
| Phone: | 904-377-3301 |
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: | 1417147463 |
| NPI Enumeration Date: | 26 Jul, 2007 |
| NPI Last Update On: | 13 Sep, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Kimberly Lacynthia Logan are as mentioned below.
| License Number | Specialization | State | Status | |
| 9166317 | Family | Florida | Primary | |
| 9166317 | Gerontology | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Kimberly Lacynthia Logan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 001458200 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Kimberly Lacynthia Logan
1440 Jackson Lake Rd,
Chatsworth, Georgia |
| Zip: | 30705-4109 |
Patients can reach Mrs. Kimberly Lacynthia Logan at
1440 Jackson Lake Rd, Chatsworth, Georgia or can
call to book an appointment on 904-377-3301.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.