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General NPI Number Information
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NPI Number | 1659298933
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Entity Type | Individual
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Provider Name | HEATHER ANNE JEFFREY NP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 135 PAGE RD N
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City | PINEHURST
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State | NC
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Zip | 28374-4607
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Country | US
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Telephone | 910-715-6067
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Fax |
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Provider Business Mailing Address
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Address Line | 135 PAGE RD N
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City | PINEHURST
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State | NC
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Zip | 28374-4607
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Country | US
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Telephone | 248-321-9615
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Fax |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AG06260140
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License Number State | NC
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