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:
Health care specialties
Specialty | Code | License # | 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 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790368066 | NPPES |
Tennessee | MEDICAID | Q082806 |
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