Individual
JASON EDWARD HEINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
Mailing address
2919 STOUT RD, MENOMONIE, WI 54751-2313
(608) 217-3002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11588
MN
363L00000X
Nurse Practitioner
9934
WI
Other
Enumeration date
03/04/2020
Last updated
07/31/2025
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