Individual
JENNIFER SUE HEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2145 E BASELINE RD STE 101, TEMPE, AZ 85283-1546
(888) 381-4858
Mailing address
23867 W HIDALGO AVE, BUCKEYE, AZ 85326-7008
(330) 631-8627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN175650
AZ
363L00000X
Nurse Practitioner
Primary
235841
AZ
Other
Enumeration date
03/21/2019
Last updated
09/27/2024
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