Provider Demographics
NPI:1437262722
Name:ZUNIGA, HEATHER LYN (FNP)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LYN
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:LYN
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:105 WATER RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:STEDMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28391-9047
Mailing Address - Country:US
Mailing Address - Phone:910-907-9197
Mailing Address - Fax:910-907-9271
Practice Address - Street 1:JOEL HEALTH CLINIC
Practice Address - Street 2:BLDG M-4861 LOGISTICS AVENUE
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-5635
Practice Address - Fax:910-907-9271
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1080365363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily