Individual
MRS. JACQUA LYNN HEINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CPNP
Contact information
Practice address
716 ADAIR AVE, ZANESVILLE, OH 43701
(740) 454-5239
(740) 455-7692
Mailing address
7505 ROSE HILL RD, ROSEVILLE, OH 43777
(740) 697-0072
(740) 455-7692
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN127716
OH
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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