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NPI Code Detail

MEDICARE: HEIDI JOY TRUJILLO NP-C

MEDICARE:   HEIDI JOY TRUJILLO  NP-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
1363LF0000XFamily Nurse PractitionerRN251007GA

General Provider Information

NPI Number : 1255888053
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI JOY TRUJILLO NP-C
Provider Business Mailing Address
First Line : 1107 MEMORIAL DR STE G2
Second Line :
City : DALTON
State : GA
Zip : 30720-8662
Country : US
Telephone Number : 706-529-3245
Fax Number : 706-272-6077
Provider Business Practice Location Address
First Line : 1107 MEMORIAL DR STE G2
Second Line :
City : DALTON
State : GA
Zip : 30720-8662
Country : US
Telephone Number : 706-529-3245
Fax Number : 706-272-6077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2016
Last Update Date : 06/29/2026

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Directions to “ HEIDI JOY TRUJILLO NP-C” Practice Location

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