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General NPI Number Information
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NPI Number | 1134160401
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Entity Type | Individual
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Provider Name | JENNIFER J HEINRICH PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 317 SEVEN SPRINGS WAY STE 205
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City | BRENTWOOD
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State | TN
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Zip | 37027-4991
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Country | US
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Telephone | 615-891-1093
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Fax | 615-645-9606
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Provider Business Mailing Address
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Address Line | 317 SEVEN SPRINGS WAY STE 205
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City | BRENTWOOD
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State | TN
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Zip | 37027-4991
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Country | US
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Telephone | 615-891-1093
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Fax | 615-645-9606
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1477
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License Number State | TN
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