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Individual

HEATHER SUSAN VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
23 SHILOH SPGS, JACKSON, TN 38305-1315
(731) 358-1008
Mailing address
23 SHILOH SPGS, JACKSON, TN 38305-1315
(731) 358-1008

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
176657
TN
163WR0006X
Registered Nurse First Assistant
64
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
149911
TN

Other

Enumeration date
08/06/2024
Last updated
08/06/2024
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