| Doctor Name: | MRS. JANICE MARIE HEATH |
| NPI Number: | 1023387586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 359517-1 |
| Business Practice Address: | 230 North Rd Poughkeepsie, NY - 126011328 |
| Business Phone Number: | 8454862850 |
| Business Fax Number: | 8454862770 |
| Mailing Address: | 14 Forest Brook Ln, HYDE PARK |
| State: | NY |
| Postal Code: | 125383178 |
| Phone Number: | 8452290364 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2011 |
| NPI Last Update Date: | 12/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | 359517-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |