Individual
JENNA HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7135 SYLVANIA AVE, BUILDING 2, SUITE A, SYLVANIA, OH 43560-5510
(419) 479-5392
Mailing address
7135 SYLVANIA AVE, BUILDING 2, SUITE A, SYLVANIA, OH 43560-5510
(419) 479-5392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020333
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201864
—
OH
Enumeration date
01/04/2017
Last updated
03/24/2017
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