Individual
REBECCA JEAN HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-5651
(239) 343-5652
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-5651
(239) 343-5652
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.021516
OH
363LP0222X
Critical Care Pediatric Nurse Practitioner
APRN.CNP.021516
OH
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
APRN11020402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114971100
—
FL
Enumeration date
10/26/2017
Last updated
08/29/2022
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