Individual
MRS. JAYNE LETA HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
(318) 483-5060
Mailing address
PO BOX 69004, ALEXANDRIA, LA 71360-9004
(318) 470-1101
(318) 483-5060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP02828
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1554057
—
LA
Enumeration date
10/25/2006
Last updated
07/08/2007
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