Individual
SANDRA JEAN HEARNSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 705-0070
(903) 405-3932
Mailing address
2406 W FRANK AVE APT 802, LUFKIN, TX 75904-8376
(936) 676-4221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
630697
TX
163WH0200X
Home Health Registered Nurse
630697
TX
163WP0200X
Pediatric Registered Nurse
Primary
630697
TX
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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