Provider Demographics
NPI:1952601338
Name:DAY, HEATHER JENNIE (APN)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:JENNIE
Last Name:DAY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1804 RONDO DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5341
Mailing Address - Country:US
Mailing Address - Phone:615-521-1622
Mailing Address - Fax:252-209-3018
Practice Address - Street 1:526 MOYE BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2848
Practice Address - Country:US
Practice Address - Phone:252-847-7150
Practice Address - Fax:252-847-3891
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000015317363LA2100X, 363LP2300X
NC5005678363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care