Provider Demographics
NPI:1700499803
Name:HEARD, NASHIA KEYAIR (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:NASHIA
Middle Name:KEYAIR
Last Name:HEARD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 HIGGINS ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:31833-3400
Mailing Address - Country:US
Mailing Address - Phone:706-518-7469
Mailing Address - Fax:
Practice Address - Street 1:1990 LUKKEN INDUSTRIAL DR W STE C
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-1404
Practice Address - Country:US
Practice Address - Phone:706-883-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN258857363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily