| NPI | 1558049619 |
|---|---|
| Former Name | JADIN TAYLOR HEIDRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R44583) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND R44583) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10478) | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2026-05-05 |