Provider Demographics
NPI:1255349544
Name:DRUMMOND, HEATHER GRACE PATRICIA (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:GRACE PATRICIA
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20215 NW 2ND AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2538
Mailing Address - Country:US
Mailing Address - Phone:305-685-5688
Mailing Address - Fax:305-974-4594
Practice Address - Street 1:20215 NW 2ND AVE STE 1
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-2538
Practice Address - Country:US
Practice Address - Phone:305-685-5688
Practice Address - Fax:305-974-4594
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1330562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30221OtherJHS PROVIDER NUMBER
FLP68257Medicare UPIN