Individual
HEATHER M KANNHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 BENNETTS MILLS RD, JACKSON, NJ 08527-2736
(732) 367-7530
Mailing address
890 BENNETTS MILLS RD, JACKSON, NJ 08527-2736
(732) 367-7530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01255900
NJ
Other
Enumeration date
12/15/2021
Last updated
01/10/2022
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