Doctor Name: | MRS. JODI LYNN HEYER |
NPI Number: | 1932191194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA C |
License Number: | 001119 |
Business Practice Address: | 1501 S Main St Suite 1 Charles City, IA - 506163444 |
Business Phone Number: | 6412285151 |
Business Fax Number: | 6412282902 |
Mailing Address: | 1501 S Main St, Suite 1 CHARLES CITY |
State: | IA |
Postal Code: | 506163444 |
Phone Number: | 6412285151 |
Fax Number: | 6412282902 |
NPI Enumeration Date: | 08/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 001119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |