MEDICARE: HEATHER LYNN JAMISON FNP

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
1	363LF0000X	Family Nurse Practitioner	193480	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	133E0	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1154498681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER LYNN JAMISON FNP

Provider Business Mailing Address
First Line	:	16600 BIRKDALE COMMONS PKWY
Second Line	:	STE E
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-6181
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16600 BIRKDALE COMMONS PKWY
Second Line	:	SUITE E
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-6181
Country	:	US
Telephone Number	:	704-896-8680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	05/29/2025

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