Individual
HEATHER LEIGH TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
12 E APPLEBY RD STE 101, FAYETTEVILLE, AR 72703-3928
(479) 463-4444
(479) 463-4499
Mailing address
12 E APPLEBY RD STE 102, FAYETTEVILLE, AR 72703-3928
(479) 463-7902
(479) 463-5345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A001584
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145544758
—
AR
01
—
5W610
BCBS
—
01
—
6973035
CIGNA
—
01
—
71-0781138
MERCY
—
01
—
710781138028
TRICARE
—
Enumeration date
11/30/2006
Last updated
06/26/2014
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