Healthcare Provider Details

I. General information

NPI: 1285114678
Provider Name (Legal Business Name): MICHELLE HEGER MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2018
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 N MAIN ST
WEBB CITY MO
64870-1936
US

IV. Provider business mailing address

PO BOX 2511
JOPLIN MO
64803-2511
US

V. Phone/Fax

Practice location:
  • Phone: 417-673-0366
  • Fax: 417-673-0336
Mailing address:
  • Phone: 417-781-0250
  • Fax: 417-781-2581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2018028410
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: