| Doctor Name: | JENNIFER ANN HEERY |
| NPI Number: | 1104010560 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 163451 |
| Business Practice Address: | 1770 Deer Creek Rd Monument, CO - 801329088 |
| Business Phone Number: | 7194882244 |
| Business Fax Number: | |
| Mailing Address: | 19759 Glen Shadows Dr, COLORADO SPRINGS |
| State: | CO |
| Postal Code: | 809082375 |
| Phone Number: | 7194812729 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2007 |
| NPI Last Update Date: | 07/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 163451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |