Individual
MS. AMY HEIDELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3000 OLD CANTON RD STE 430, JACKSON, MS 39216-4225
(601) 982-5441
Mailing address
126 HANGING MOSS LN, MADISON, MS 39110-7127
(601) 953-1200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903219
MS
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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