# JADE N. HEINEN, MD APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558507632
- **Authorized official:** DR. JADE NICHOLAS HEINEN MD (PRESIDENT)
- **Authorized official phone:** (337) 457-8166

## Contact information

- **Practice address:** 151 LEON ST, EUNICE, LA 70535-3917
- **Practice address phone:** (337) 457-8166
- **Practice address fax:** (337) 457-8564
- **Mailing address:** 151 LEON ST, EUNICE, LA 70535-3917
- **Mailing address phone:** (337) 457-8166
- **Mailing address fax:** (337) 457-8564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD.201684 | LA | Yes |

## Other

- **Enumeration date:** 12/19/2008
- **Last updated:** 12/19/2008