Individual
JESSICA HEESTAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 BLUE RIDGE RD STE 300, RALEIGH, NC 27612-8002
(919) 781-7500
(919) 645-3440
Mailing address
3100 BLUE RIDGE RD 300, RALEIGH, NC 27612-8002
(919) 781-7500
(919) 645-3440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015-00621
NC
Other
Enumeration date
06/04/2012
Last updated
12/29/2020
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