National Provider Identifier
Jennifer Marie Heaven, FNP
Jennifer Marie Heaven, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 545-1749.
Profile Overview
- NPI
- 1356634539
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- May 23, 2011
- Last Updated
- November 02, 2022
Practice Location
- 254 Alexander St
- Rochester, NY 14607-2515
Phone: (585) 545-1749
Mailing Address
- 125 Lattimore RD
- Suite 258
- Rochester, NY 14620-4159
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1356634539
- Entity Type
- Individual
- Last Name
- Heaven
- First Name
- Jennifer
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- FNP
- Mailing Street Address
- 125 Lattimore RD
- Mailing Address Line 2
- Suite 258
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4159
- Mailing Country
- US
- Mailing Phone
- (585) 442-8020
- Mailing Fax
- (585) 442-8039
- Practice Street Address
- 254 Alexander St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-2515
- Practice Country
- US
- Practice Phone
- (585) 545-1749
- Enumeration Date
- May 23, 2011
- Last Updated
- November 02, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 02, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)