Individual
JACQUELINE VICTORIA HEFLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 1, JOHNSON CITY, TN 37604-6056
(423) 439-7272
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
33889
TN
363LW0102X
Women's Health Nurse Practitioner
4704375710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q082806
—
TN
Enumeration date
05/04/2021
Last updated
01/17/2024
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