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1306309570
HEATHER WISE
ROANOKE, VA
NPI
1306309570
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Former Name
HEATHER JARRELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024179652)
Enumeration Date
2019-04-12
Last Update Date
2022-10-26
Business Address
HEATHER WISE APRN
1111 S JEFFERSON ST STE B
ROANOKE, VA 24016-4724
Phone number: 540-769-3964
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Mailing Address
HEATHER WISE APRN
PO BOX 8310
ROANOKE, VA 24014-0310
Phone number: 540-345-3556
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