Individual
HEATHER LOUISE BURKE-CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501
(770) 297-2000
(770) 534-8139
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN144938
GA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN-NP144938
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003206312A
—
GA
05
—
003206312B
—
GA
01
—
05717668
AMERIGROUP
GA
01
—
1642907
WELLCARE
GA
Enumeration date
09/29/2015
Last updated
10/30/2025
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