Individual
HEATHER MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 280-2080
(812) 206-1213
Mailing address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 280-2080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1103245
KY
363LF0000X
Family Nurse Practitioner
71010910A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71010910A
IN
Other
Enumeration date
12/05/2012
Last updated
03/02/2023
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