| Doctor Name: | HEATHER MAE DEMAREE |
| NPI Number: | 1972930204 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.C. |
| License Number: | 2306 |
| Business Practice Address: | 131 Hospital Ln Jellico, TN - 377624404 |
| Business Phone Number: | 4237847269 |
| Business Fax Number: | 4237843708 |
| Mailing Address: | Po Box 447, JELLICO |
| State: | TN |
| Postal Code: | 377620447 |
| Phone Number: | 4237847269 |
| Fax Number: | 4237843708 |
| NPI Enumeration Date: | 10/01/2013 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 2306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |