Individual
JACQUELYN HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R193492
MD
367A00000X
Advanced Practice Midwife
Primary
R193492
MD
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
06/02/2015
Last updated
01/10/2022
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