Individual
DR. HEATHER GAYE HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PPCNP, CNS
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-2565
(901) 595-4046
Mailing address
820 BELLE MEADE DR, EADS, TN 38028-3524
(901) 484-9234
(901) 595-2565
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
7753
TN
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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