Individual
JENNEN LEE HEATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
21703 KINGSLAND BLVD STE 101, KATY, TX 77450-2521
(281) 944-9442
(832) 321-3012
Mailing address
21703 KINGSLAND BLVD STE 101, KATY, TX 77450-2521
(281) 944-9442
(832) 321-3012
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
646173
TX
Other
Enumeration date
01/25/2012
Last updated
01/22/2017
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