Individual
HEATHER JANE HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 297-2200
(770) 534-8139
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 534-8998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN134201
GA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN-NP134201
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10045280
AMERIGROUP
GA
05
—
173781036A
—
GA
05
—
173781036B
—
GA
05
—
173781036C
—
GA
01
—
339839
WELLCARE
GA
Enumeration date
06/16/2006
Last updated
10/30/2025
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