Individual
MRS. HEATHER TEMPLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF MEDICINE DIVISION OF INFECTIOUS DISEASE, JACKSON, MS 39216-4500
(601) 984-5560
(601) 984-5565
Mailing address
2500 N STATE ST, DIVISION OF INFECTIOUS DISEASE, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865791
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08884077
—
MS
Enumeration date
09/22/2006
Last updated
04/10/2014
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