Juanita Denise Allen-Heckstall, np
Nurse Practitioner, Family in Silver Spring, MD. Individual provider (NPI-1).
NPI number1770619181
StatusActive
Last updated in NPPESFeb 17, 2012
Details
- NPI
- 1770619181
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Juanita Denise Allen-Heckstall
- Credential
- np
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2007
- Last updated
- Feb 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | r157318 | MD | Yes |
Practice location
8210 Colonial LnSilver Spring, MD 20910-5721
Phone 301-585-1250 · Fax 301-585-6289
Mailing address
14705 Van Wagner RdUpper Marlboro, MD 20772-9715
Phone 301-952-1188 · Fax 301-952-1310
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