Individual
MRS. HEATHER LEIGH BRACKENOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2174 RICHVILLE DR SW APT SUITE, MASSILLON, OH 44646-8897
(330) 417-1445
Mailing address
2174 RICHVILLE DR SW APT SUITE, MASSILLON, OH 44646-8897
(330) 417-1445
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0038589
OH
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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