Jody Heffernan, NP
Nurse Practitioner, Adult Health in Guilford, Connecticut
1043305402- Practice location
- 111 Goose Ln, Guilford, CT 06437-5101
- Phone
- 203-458-2097
- Fax
- —
- Last updated
- January 27, 2015
Jody Heffernan is a Nurse Practitioner, Adult Health based in Guilford, CT. Jody Heffernan practices in Guilford, CT and has the professional credentials of NP. The NPI Number for Jody Heffernan is 1043305402 and holds a License No. 002918 (CT). The current practice location address for Jody Heffernan is 111 Goose Ln, Guilford, CT 06437-5101 and can be reached out via phone at 203-458-2097.
Provider Profile Details
- NPI Number
- 1043305402
- Provider Name
- Jody Heffernan
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Goose Ln, Guilford, CT 06437-5101
- Phone Number
- 203-458-2097
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 3, 2006
- Last Update Date
- January 27, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Goose Ln
Guilford, CT 06437-5101 - City
- Guilford
- State
- Connecticut
- Zip
- 06437-5101
- Phone Number
- 203-458-2097
Provider Business Mailing Address Details
- Address
- 360 Sea Hill RD
North Branford, CT 06471-1412 - City
- North Branford
- State
- CT
- Zip
- 06471-1412
- Phone Number
- 203-315-1144
License Information
- License Number (1)
- 002918
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- 002918
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Adult Health providers near Guilford, CT
View all Nurse Practitioner, Adult Health providers in Guilford →Frequently Asked Questions
What is the NPI number of Jody Heffernan, NP?
The NPI number of Jody Heffernan, NP is 1043305402. It was assigned on October 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Jody Heffernan, NP?
Jody Heffernan, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 002918.
Where does Jody Heffernan, NP practice?
The practice location is 111 Goose Ln, Guilford, CT 06437-5101. The office can be reached at 203-458-2097 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043305402 directly on the NPPES registry website.