Individual
MRS. FELICIA LASHAWN HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1995 PEPPERELL PKWY STE 6, OPELIKA, AL 36801-5460
(334) 275-7658
Mailing address
2135 INTERSTATE DR STE 197, OPELIKA, AL 36801-1526
(334) 275-7658
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-127071
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176662A
—
GA
05
—
003176662B
—
GA
Enumeration date
04/20/2016
Last updated
03/26/2024
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