Individual
DR. CHARLISA HEYWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
17450 MAIN ST STE D, HESPERIA, CA 92345-6262
(760) 493-2929
Mailing address
12640 HESPERIA RD STE D, VICTORVILLE, CA 92395-7753
(760) 684-4143
(760) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95012553
CA
Other
Enumeration date
07/28/2019
Last updated
03/04/2026
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