Individual provider · Type 1 NPI

Heather G. Dismuke, FNP-BC

Family Nurse Practitioner · Moultrie, GA

NPI number 1386320752 Active

Practice location

101 Cobblestone Trce SE
Moultrie, GA 31788-7747

Fax (229) 891-9185

Mailing address

PO Box 2876
Moultrie, GA 31776-2876

Other practice locations

  • 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 · (229) 985-4815
  • 8 Laurel Ct, Moultrie, GA 31768-6889 · (229) 891-9016

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN293813 (GA)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1386320752

Heather G. Dismuke, FNP-BC's National Provider Identifier is 1386320752, issued on Jun 22, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moultrie, GA. The record was last updated on Sep 4, 2025.