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Individual

JEANIE K HEIDELBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
4333 HWY 16 S STE 400, BANDERA, TX 78003-5167
(830) 264-8210
Mailing address
4333 HWY 16 S STE 400, BANDERA, TX 78003-5167
(830) 264-8210

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1020420
TX

Other

Enumeration date
12/01/2020
Last updated
12/02/2024
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