Most Relevant Information
Provider Data
| NPI Number: | 1003688474 |
| Provider Name: | HEATHER HADDOCK NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 34970 |
Most Important Dates
| Enumeration Date: | 10/27/2023 |
| Last Updated: | 10/31/2023 |
Provider Practice Location
1718 PARR AVE STE E
DYERSBURG
TN
380242071
Practice Location Phone/Fax
| Phone: | 7312859938 |
| Fax: |
Provider Mailing Location
1718 PARR AVE STE E
DYERSBURG
TN
380242071
Provider Mailing Phone/Fax
| Phone: | 7312859938 |
| Fax: |