| Jourdan Nikole Heitschmidt, APN | |
|
211 Main St, Carbondale, KS 66414-9714 | |
| (785) 836-7111 | |
| Not Available |
| Full Name | Jourdan Nikole Heitschmidt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 211 Main St, Carbondale, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598391484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 79270 (Kansas) | Primary |
| Entity Name | Rocky Mountain Kidney Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861082117 PECOS PAC ID: 5597170969 Enrollment ID: O20240801001234 |
| Mailing Address | Practice Location Address |
|---|---|
| Jourdan Nikole Heitschmidt, APN 1601 Old South River Rd, Saint Charles, MO 63303-4120 Ph: (636) 224-1210 | Jourdan Nikole Heitschmidt, APN 211 Main St, Carbondale, KS 66414-9714 Ph: (785) 836-7111 |
Katy A Black, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 E Main St, Carbondale, KS 66414 Phone: 785-836-7111 | |
Jenna D Weekley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 E Main St, Carbondale, KS 66414 Phone: 785-836-7111 | |
Jessica Nichole Bryant, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 E Main St, Carbondale, KS 66414 Phone: 785-836-7111 |