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NPI Code Detail

MEDICARE: JENNIFER KAY HEINRICHS CPD,LS,CPR CERTIFIED

MEDICARE:   JENNIFER KAY HEINRICHS  CPD,LS,CPR CERTIFIED
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
1374J00000XDoula374J00000XGA

General Provider Information

NPI Number : 1447586193
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KAY HEINRICHS CPD,LS,CPR CERTIFIED
Provider Business Mailing Address
First Line : 2605 LITTLE JOHN CIR
Second Line :
City : CUMMING
State : GA
Zip : 30040-2882
Country : US
Telephone Number : 770-780-2997
Fax Number :
Provider Business Practice Location Address
First Line : 2605 LITTLE JOHN CIR
Second Line :
City : CUMMING
State : GA
Zip : 30040-2882
Country : US
Telephone Number : 770-780-2997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2009
Last Update Date : 10/29/2009

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Directions to “ JENNIFER KAY HEINRICHS CPD,LS,CPR CERTIFIED” Practice Location

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