Individual
JENNINGS HEILIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
17175 RICH VALLEY RD, ABINGDON, VA 24210-2187
(540) 818-9481
Mailing address
PO BOX 542, ABINGDON, VA 24212-0542
(540) 818-9481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001207686
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1393
AZ
Other
Enumeration date
09/22/2016
Last updated
06/23/2020
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