HEATHER CONN (NPI# 1275880601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275880601 |
| Entity Type | Individual |
| Full Name | HEATHER CONN |
| Credential | FNP, PMHNP-BC |
| Practice Address |
2255 Broadway Dr Hattiesburg MS 39402-3254 |
| Practice Telephone | 6012887000 |
| Mailing Telephone | (601) 288-7000 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R863750 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R863750 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629599378 | Heather Renee Conn | Behavioral Analyst | 3101 Sunset Blvd Ste 1a, Rocklin, CA 95677-3097 | 2017-07-03 |
| 1790155182 | Heather Conn | Nurse Practitioner | 110 E 5th Ave, Antigo, WI 54409-2710 | 2015-09-29 |
| 1902248495 | Heather Conn | Nurse Practitioner | 1540 W Goodwin St, Pleasanton, TX 78064-3804 | 2013-07-24 |
| Street Address |
2255 BROADWAY DR |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447452347 | Tiffany Paige Bradley | Psychologist | 2255 Broadway Dr, Hattiesburg, MS 39402-3254 | 2007-06-03 |
| 1457978348 | Alecia R. Bradford | Social Worker | 2255 Broadway Dr, Hattiesburg, MS 39402-3254 | 2020-06-26 |
| 1790319945 | Ariale Marie Nelson | Nurse Practitioner | 2255 Broadway Dr, Hattiesburg, MS 39402-3254 | 2020-02-26 |
| 1538693510 | William Smith Turner Jr. | Nurse Practitioner | 2255 Broadway Dr, Hattiesburg, MS 39402-3254 | 2017-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215267018 | Rebecca B Hartzog | Nurse Practitioner | 1 Lincoln Pkwy Ste 304, Hattiesburg, MS 39402-3261 | 2009-12-30 |
| 1679624696 | Diann Branton Mayfield | Nurse Practitioner | 2 Southern Point Pkwy, Suite 200, Hattiesburg, MS 39401-8025 | 2007-01-16 |
| 1275186850 | Erika Lytice Newsome | Nurse Practitioner | 1 Lincoln Pkwy Ste 304, Hattiesburg, MS 39402-3261 | 2019-07-22 |
| 1679084024 | Donald Allan Dearman | Nurse Practitioner | 103 S 19th Ave, Hattiesburg, MS 39401-6171 | 2017-10-12 |
| 1538693510 | William Smith Turner Jr. | Nurse Practitioner | 2255 Broadway Dr, Hattiesburg, MS 39402-3254 | 2017-04-17 |
| 1174068076 | Racheal Marie Pritchett | Nurse Practitioner | 101 Aldersgate Cir, Hattiesburg, MS 39402-1301 | 2016-12-31 |
| 1346691714 | Billy J Thornton | Nurse Practitioner | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2016-06-28 |
| 1386930477 | Karen Lee | Nurse Practitioner | 103 S 19th Ave, Hattiesburg, MS 39401-6171 | 2011-06-27 |
| 1093722662 | Sandra Kinnan | Nurse Practitioner | 103 S 19th Ave, Hattiesburg, MS 39401-6171 | 2006-08-03 |
| 1346284130 | Patricia Calabrese | Nurse Practitioner | 1 Lincoln Parkway, Suite 202, Hattiesburg, MS 39402 | 2006-06-15 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on HEATHER CONN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.