Jellett, Heather Collins

Jellett, Heather Collins is an individual health care provider with primary practice located at 2565 Judge Fran Jamieson Way , Viera FL 32940-5998. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Jellett, Heather Collins can be contacted via phone (321) 639-5842.

Contact Information

Primary practice address
2565 Judge Fran Jamieson Way Viera FL 32940-5998
Phone: (321) 639-5842
Fax: (321) 637-7707
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X RN9169617 Florida

Profile Details

NPI number 1508191073
LBN Legal business name Jellett, Heather Collins
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2009
Last updated Oct 16th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508191073 NPPES
Florida MEDICAID 311782100

Popular Providers