Healthcare Provider Details

I. General information

NPI: 1750658944
Provider Name (Legal Business Name): JENNY M HEUCK PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2011
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PIONEER RD
SHERIDAN WY
82801-3334
US

IV. Provider business mailing address

1400 PIONEER RD
SHERIDAN WY
82801-3334
US

V. Phone/Fax

Practice location:
  • Phone: 307-752-7118
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number18149
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: