Individual
JOURDAN NIKOLE HEITSCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
211 MAIN ST, CARBONDALE, KS 66414-9714
(785) 836-7111
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
79270
KS
Other
Enumeration date
03/23/2020
Last updated
01/27/2021
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