Heather D Nielsen, DO
Family Medicine in Jacksonville, FL. Individual provider (NPI-1).
NPI number1366861981
StatusActive
Last updated in NPPESJul 6, 2026
Details
- NPI
- 1366861981
- Entity type
- Individual (NPI-1)
- Name
- Heather D Nielsen
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2014
- Certification date
- Jul 6, 2026
- Last updated
- Jul 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 13363 | WI | Yes |
| 207Q00000X | Family Medicine | OS14698 | FL |
Other names
- Heather Denton (Former Name)
Practice location
14830 Ingle LnJacksonville, FL 32223-8658
Phone 205-223-6261
Mailing address
14830 Ingle LnJacksonville, FL 32223-8658
Other practice locations
800 West Ave S
La Crosse, WI 54601-8806
La Crosse, WI 54601-8806
Phone 608-785-0940
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