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NPI Code Detail

MEDICARE: JENNIFER J HEINRICH PA-C

MEDICARE:   JENNIFER J HEINRICH  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1477TN

General Provider Information

NPI Number : 1134160401
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER J HEINRICH PA-C
Provider Business Mailing Address
First Line : 317 SEVEN SPRINGS WAY STE 205
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-4991
Country : US
Telephone Number : 615-891-1093
Fax Number : 615-645-9606
Provider Business Practice Location Address
First Line : 317 SEVEN SPRINGS WAY STE 205
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-4991
Country : US
Telephone Number : 615-891-1093
Fax Number : 615-645-9606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 01/08/2026

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Directions to “ JENNIFER J HEINRICH PA-C” Practice Location

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