| Jacob Andrew Heislman, PMHNP-BC | |
|
1747 Baptist Clay Dr Ste 350, Fleming Island, FL 32003-8504 | |
| (904) 376-3800 | |
| (904) 390-7397 |
| Full Name | Jacob Andrew Heislman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1747 Baptist Clay Dr Ste 350, Fleming Island, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457009920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11018600 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Behavioral Health Llc | 7315166394 | 112 |
| Entity Name | Baptist Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215906649 PECOS PAC ID: 7315166394 Enrollment ID: O20140924001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Andrew Heislman, PMHNP-BC Po Box 748519, Atlanta, GA 30374-8519 Ph: (904) 376-3800 | Jacob Andrew Heislman, PMHNP-BC 1747 Baptist Clay Dr Ste 350, Fleming Island, FL 32003-8504 Ph: (904) 376-3800 |
Dian S Trent, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1747 Baptist Clay Rd, Suite 340, Fleming Island, FL 32003 Phone: 904-264-1204 Fax: 904-264-1227 | |
Mrs. Kimberly Simon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2310 Village Square Pkwy Ste 202, Fleming Island, FL 32003 Phone: 904-516-1880 Fax: 904-516-1885 | |
Vanessa Brown, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1766 Long Slough Walk, Fleming Island, FL 32003 Phone: 904-400-4315 | |
Brenda Garcia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Marsh Hawk Ln Unit 101, Fleming Island, FL 32003 Phone: 786-426-7972 | |
Saphina Williams, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003 Phone: 904-269-6526 Fax: 904-269-6527 | |
Mr. Scott Alan Shirley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2349 Village Square Pkwy Ste 112, Fleming Island, FL 32003 Phone: 904-886-9686 Fax: 904-253-6964 | |
Mrs. Candice Christina O'connell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1929 Adler Nest Ln, Fleming Island, FL 32003 Phone: 904-626-8010 |