Individual
MRS. HEATHER MECHELLE INNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
512 S BURNETT RD, SPRINGFIELD, OH 45505-2720
(937) 268-6511
(937) 328-3387
Mailing address
4050 RYLAND DR, SPRINGFIELD, OH 45503-1775
(937) 243-3345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN293721
OH
Other
Enumeration date
09/22/2006
Last updated
07/21/2022
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