Jumbercotta, Heidi Ellen

Jumbercotta, Heidi Ellen is an individual health care provider with primary practice located at 1638 Owen Dr , Fayetteville NC 28304-3424. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Jumbercotta, Heidi Ellen can be contacted via phone (910) 615-4000.

Contact Information

Primary practice address
1638 Owen Dr Fayetteville NC 28304-3424
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 5013687 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 5013687 North Carolina

Profile Details

NPI number 1265032536
LBN Legal business name Jumbercotta, Heidi Ellen
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2020
Last updated Feb 2nd, 2021 - about 3 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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