Individual
HEATHER JO KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
505 S NOLEN DR, STE A, SOUTHLAKE, TX 76092-9167
(817) 424-1525
(817) 424-3491
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-4673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP131194
TX
363LF0000X
Family Nurse Practitioner
AP131194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8961NY
BLUE CROSS BLUE SHEILD
TX
Enumeration date
07/11/2016
Last updated
09/28/2022
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