Heflin, Jacqueline Victoria

Heflin, Jacqueline Victoria is an individual health care provider with primary practice located at 325 N State Of Franklin Rd Fl 1 , Johnson City TN 37604-6056. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Heflin, Jacqueline Victoria can be contacted via phone (423) 439-7272.

Contact Information

Primary practice address
325 N State Of Franklin Rd Fl 1 Johnson City TN 37604-6056
Phone: (423) 439-7272
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 4704375710 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 33889 Tennessee

Profile Details

NPI number 1790368066
LBN Legal business name Heflin, Jacqueline Victoria
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2021
Last updated Jan 17th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790368066 NPPES
Tennessee MEDICAID Q082806

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