Individual
JENNA HEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 2E99, NEWARK, DE 19718-2200
(302) 733-5982
(302) 733-6081
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0036915
DE
363L00000X
Nurse Practitioner
LZ-0000129
DE
363LA2100X
Acute Care Nurse Practitioner
LZ-0000129
DE
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
LZ-0000129
DE
Other
Enumeration date
08/20/2013
Last updated
06/17/2019
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