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Individual

JALEAN LOUISE HEIKENFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1640 FLOSSIE DRIVE, GREENDALE, IN 47025
(859) 655-8910
(859) 655-8911
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 655-8910
(859) 655-8911

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN. 321130
OH
363L00000X
Nurse Practitioner
16224
OH
363L00000X
Nurse Practitioner
3008919
KY
363L00000X
Nurse Practitioner
Primary
71005409A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100321870
KY
Enumeration date
12/23/2011
Last updated
09/04/2019
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