Individual
MS. HEATHER MARIE DUDNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1909 HARPETH RIVER DR, BRENTWOOD, TN 37027-4854
(615) 555-5555
Mailing address
1909 HARPETH RIVER DR, BRENTWOOD, TN 37027-4854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4247
TN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/18/2012
Last updated
12/30/2024
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