Provider Demographics
NPI:1023099074
Name:LAMBERT, HEATHER D (WHNP, FNP, BC)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:D
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:WHNP, FNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 GORDONSVILLE HWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GORDONSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38563
Mailing Address - Country:US
Mailing Address - Phone:615-735-8008
Mailing Address - Fax:615-735-0008
Practice Address - Street 1:507 GORDONSVILLE HWY
Practice Address - Street 2:SUITE 203
Practice Address - City:GORDONSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38563-4652
Practice Address - Country:US
Practice Address - Phone:615-735-8008
Practice Address - Fax:615-735-0008
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 7920363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1527199Medicaid
TN3903382Medicaid
TN3903382Medicaid
P34988Medicare UPIN