Provider Demographics
NPI:1467643007
Name:JOURNEYCAKE, HEATHER LEA (APRN, CPNP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEA
Last Name:JOURNEYCAKE
Suffix:
Gender:F
Credentials:APRN, CPNP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:LEA
Other - Last Name:VONRHEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26011 STERLING STONE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0733
Mailing Address - Country:US
Mailing Address - Phone:918-724-1846
Mailing Address - Fax:
Practice Address - Street 1:9727 SPRING GREEN BLVD STE 900
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4576
Practice Address - Country:US
Practice Address - Phone:918-789-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2014-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX798505363LP0200X
OK79137363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics