Individual
JACOB MICHAEL HEFLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1993 ERRECART BLVD, ELKO, NV 89801-8334
(775) 753-1049
Mailing address
1993 ERRECART BLVD, ELKO, NV 89801-8334
(775) 753-1049
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
838126
NV
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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