Individual
MS. DANIELLE K HEDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
804 E 16TH AVE, CORDELE, GA 31015-1514
(229) 273-8881
(229) 273-8985
Mailing address
PO BOX 5610, CORDELE, GA 31010-5610
(229) 273-8881
(229) 273-8985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN129700
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN129700
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106943E
—
GA
Enumeration date
02/11/2011
Last updated
05/12/2016
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