Provider Demographics
NPI:1013457134
Name:FINNELL, HEATHER LANGSTON (APRN-BC)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LANGSTON
Last Name:FINNELL
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:MARIE
Other - Last Name:LANGSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:777 W DUVAL ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32055-5806
Mailing Address - Country:US
Mailing Address - Phone:386-755-3300
Mailing Address - Fax:386-755-8595
Practice Address - Street 1:777 W DUVAL ST
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-5806
Practice Address - Country:US
Practice Address - Phone:386-755-3300
Practice Address - Fax:386-755-8595
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3402142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily