Individual
JENNIFER HEATON-FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
230 ALLENTOWN LOOP, LUFKIN, TX 75904-6563
(936) 238-8141
Mailing address
230 ALLENTOWN LOOP, LUFKIN, TX 75904-6563
(936) 238-8141
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
334114
TX
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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