Individual provider · Type 1 NPI

Willie Stephan Van Heerde, MD

Family Medicine Physician · Jackson, MS

NPI number 1982496212 Active

Practice location

2500 N. State Street
Jackson, MS 39216

Call (601) 674-1000 Map

Mailing address

1865 Lakeland Dr Apt 108
Jackson, MS 39216-4960

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XT-5800 (MS)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1982496212

Willie Stephan Van Heerde, MD's National Provider Identifier is 1982496212, issued on May 21, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jackson, MS. The record was last updated on Feb 17, 2026.