Doctor Name: | CONNIE JOAN HEARD |
NPI Number: | 1073527982 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 601808 |
Business Practice Address: | 900 North Armstrong Denison, TX - 75020 |
Business Phone Number: | 9034652440 |
Business Fax Number: | 9034652298 |
Mailing Address: | 900 N Armstrong Ave, DENISON |
State: | TX |
Postal Code: | 750202230 |
Phone Number: | 9034652440 |
Fax Number: | 9034652298 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 08/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 601808 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |