Individual
MRS. HEATHER HARPER AUGUSTYNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1301 PALM AVE STE 700, JACKSONVILLE, FL 32207-8432
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11003442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041387113
MEDICAID
IL
01
—
206147
MEDICARE (GROUP)
IL
01
—
F400094253
MEDICARE (INDIVIDUAL)
IL
Enumeration date
05/16/2013
Last updated
04/28/2025
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