Provider Demographics
NPI:1558021055
Name:HECKAMAN, HALEY (FNP-C)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:HECKAMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:247 CHATEAU DR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6401
Mailing Address - Country:US
Mailing Address - Phone:256-651-5606
Mailing Address - Fax:
Practice Address - Street 1:247 CHATEAU DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6401
Practice Address - Country:US
Practice Address - Phone:256-882-1510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-23
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-168784363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily