LOGAN MARIE CLOUD PA-C NPI 1902604978

NPI Information

  • NPI: 1902604978
  • Provider Name: LOGAN MARIE CLOUD, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 431 SANDERS BLUFF RD
    HUMBOLDT, TN
    ZIP 38343
  • Phone: (731) 487-8912

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NPI Details

Logan Marie Cloud, PA-C is a medical physician assistant in Humboldt, TN. Logan Marie Cloud, PA-C NPI is 1902604978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

431 SANDERS BLUFF RD
HUMBOLDT, TN
ZIP 38343-545
Phone: (731) 487-8912

The NPI 1902604978 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/5/2025 and was last updated on 3/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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