Individual
MRS. HEIDI ELLEN JUMBERCOTTA
Active
Individual
MRS. HEIDI ELLEN JUMBERCOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5013687
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
5013687
NC
363LC0200X
Critical Care Medicine Nurse Practitioner
5013687
NC
Other
Enumeration date
10/27/2020
Last updated
07/24/2026
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