Heise, Jennifer N

Heise, Jennifer N is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Heise, Jennifer N can be contacted via phone (630) 933-4487.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190
Phone: (630) 933-4487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.009502 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209009502 Illinois

Profile Details

NPI number 1467712042
LBN Legal business name Heise, Jennifer N
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2012
Last updated Jun 22nd, 2018 - about 6 years 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 1467712042 NPPES
Illinois Other CA4748 MEDICARE RAILROAD GROUP PTAN
Illinois Other P10398553 MEDICARE RAILROAD GROUP PTAN

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