Individual
MRS. STEPHANIE NICOLE HEINSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7655 POPLAR AVE, SUITE 350, GERMANTOWN, TN 38138-3957
(901) 761-2470
Mailing address
4355 CHERRYDALE RD, MEMPHIS, TN 38111-8163
(770) 990-0966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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