Individual
HEATHER HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1718 PARR AVE STE E, DYERSBURG, TN 38024-2071
(731) 285-9938
Mailing address
1718 PARR AVE STE E, DYERSBURG, TN 38024-2071
(731) 285-9938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
34970
TN
Other
Enumeration date
10/27/2023
Last updated
10/31/2023
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