Individual
HEATHER J LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
Mailing address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3016555
KY
Other
Enumeration date
08/31/2021
Last updated
05/10/2022
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