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Individual
JENNIFER DELIA HEFFERNAN
Active
Individual
JENNIFER DELIA HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M1751
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
M1751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177453101
—
TX
01
—
8M6746
BCBS
TX
01
—
P00258017
RAILROAD MEDICARE
TX
Enumeration date
12/19/2005
Last updated
12/05/2025
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