Individual
JENNY M HEUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1400 PIONEER RD, SHERIDAN, WY 82801-3334
(307) 752-7118
Mailing address
1400 PIONEER RD, SHERIDAN, WY 82801-3334
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18149
WY
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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