Jonathan Heise, CNP
Nurse Practitioner in Rochester, MN. Individual provider (NPI-1).
NPI number1114397288
StatusActive
Last updated in NPPESAug 7, 2020
Details
- NPI
- 1114397288
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jonathan Heise
- Credential
- CNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2015
- Certification date
- Aug 7, 2020
- Last updated
- Aug 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | CNP 4264 | MN | Yes |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
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