Jackson, Heather Ann Taylor
Jackson, Heather Ann Taylor is an individual health care provider with primary practice located at 1504 W Reynolds St Ste C , Pontiac IL 61764-9786. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Heather Ann Taylor can be contacted via phone (309) 604-9505.Contact Information
Primary practice address
1504 W Reynolds St Ste C
Pontiac IL 61764-9786
Phone: (309) 604-9505
Fax: (309) 604-9501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209026979 | Illinois |
Profile Details
| NPI number | 1780366419 |
|---|---|
| LBN Legal business name | Jackson, Heather Ann Taylor |
| Credentials | APRN, WHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2023 |
| Last updated | Feb 5th, 2024 - about last year |
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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