Doctor Name: | MS. DANIELLE K HEDDEN |
NPI Number: | 1053618991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | RN129700 |
Business Practice Address: | 804 E 16th Ave Cordele, GA - 310151514 |
Business Phone Number: | 2292738881 |
Business Fax Number: | 2292738985 |
Mailing Address: | Po Box 5610, CORDELE |
State: | GA |
Postal Code: | 310105610 |
Phone Number: | 2292738881 |
Fax Number: | 2292738985 |
NPI Enumeration Date: | 02/11/2011 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN129700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |