Individual
HEATHER NOOJIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
613 GAULT AVE S, FORT PAYNE, AL 35967-1625
(256) 601-6636
(256) 364-8875
Mailing address
613 GAULT AVE S, FORT PAYNE, AL 35967-1625
(256) 601-6636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1105248
AL
363LP2300X
Primary Care Nurse Practitioner
1-105248
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105248
BOARD OF NURSING
AL
Enumeration date
01/11/2018
Last updated
09/02/2022
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