Individual
JESSICA LYNN HEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1217 KEARNEY ST STE 2, PORT HURON, MI 48060-3571
(810) 990-8302
Mailing address
54516 AVONDALE DR, NEW BALTIMORE, MI 48047-1073
(586) 524-5801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704271858
MI
363LF0000X
Family Nurse Practitioner
Primary
4704271858
MI
Other
Enumeration date
08/13/2018
Last updated
11/13/2023
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