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Amy Heidelberg, FNP-C

Nurse Practitioner in Jackson, MS. Individual provider (NPI-1).

NPI number1982165080
StatusActive
Last updated in NPPESMar 29, 2019

Details

NPI
1982165080
Entity type
Individual (NPI-1)
Name
Ms. Amy Heidelberg
Credential
FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 29, 2019
Last updated
Mar 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner903219MSYes

Practice location

3000 Old Canton Rd Ste 430
Jackson, MS 39216-4225

Phone 601-982-5441

Mailing address

126 Hanging Moss Ln
Madison, MS 39110-7127

Phone 601-953-1200

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