Individual
JENNIFER L HEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 996-4201
Mailing address
3712 LODGE DR APT F, VESTAVIA HILLS, AL 35216-6275
(256) 453-6620
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
1-164524
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-164524
AL
Other
Enumeration date
01/28/2019
Last updated
11/04/2020
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