Provider Demographics
NPI:1295380822
Name:HEIS, JESSICA NICOLE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:NICOLE
Last Name:HEIS
Suffix:
Gender:F
Credentials:APRN, FNP-C
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Mailing Address - Street 1:252 RURAL ACRES DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3503
Mailing Address - Country:US
Mailing Address - Phone:304-253-2628
Mailing Address - Fax:304-252-1720
Practice Address - Street 1:124 BROOKSHIRE LN
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-6761
Practice Address - Country:US
Practice Address - Phone:304-252-8551
Practice Address - Fax:304-461-0435
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-09
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV103705363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner