Individual provider · Type 1 NPI
Jessica Heacock, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MI
NPI number
1770157018
Active
Practice location
100 Cherry St SE
Grand Rapids, MI 49503-4526
Mailing address
3825 Windwood Dr NE
Rockford, MI 49341-8515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704328302 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
208 other providers at this address
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- Cherry Street Services, IncFederally Qualified Health Center (FQHC) Grand Rapids, MI NPI 1902024649
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About NPI 1770157018
Jessica Heacock, PMHNP-BC's National Provider Identifier is 1770157018, issued on May 19, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MI. The record was last updated on May 19, 2021.