Individual
HEATHER JAET SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
113 BREWSTER RD, MADISONVILLE, LA 70447-9579
(985) 845-1985
(985) 256-5687
Mailing address
606 W 12TH AVE, COVINGTON, LA 70433-3358
(985) 845-1985
(985) 256-5687
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
204296
LA
Other
Enumeration date
07/30/2019
Last updated
10/30/2020
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