| 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 - Psychiatric/mental Health |
| Location | 1747 Baptist Clay Dr Ste 350, Fleming Island, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457009920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11018600 (Florida) | Primary |
| 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 |
Yvonne Tyson, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1976 Salt Myrtle Ln, Fleming Island, FL 32003 Phone: 904-215-5262 |
Melissa Brinkley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2349 Village Square Pkwy Ste 110-111, Fleming Island, FL 32003 Phone: 904-385-2023 |
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 |
Sharon M Cooley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1845 Town Center Blvd, Bldg. 600, Box # 15, Fleming Island, FL 32003 Phone: 904-529-2800 Fax: 904-529-2802 |
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 |
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 |