Individual provider · Type 1 NPI

Amy Heidelberg, FNP-C

Nurse Practitioner · Jackson, MS

NPI number 1982165080 Active

Practice location

3000 Old Canton Rd Ste 430
Jackson, MS 39216-4225

Mailing address

126 Hanging Moss Ln
Madison, MS 39110-7127

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X903219 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1982165080

Amy Heidelberg, FNP-C's National Provider Identifier is 1982165080, issued on Mar 29, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Mar 29, 2019.