Provider Demographics
NPI:1316837669
Name:WILLS, HEIDI LINNEA
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:LINNEA
Last Name:WILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 HOLLY HILL DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:OH
Mailing Address - Zip Code:45640-1287
Mailing Address - Country:US
Mailing Address - Phone:740-988-7484
Mailing Address - Fax:
Practice Address - Street 1:107 HOLLY HILL DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-1287
Practice Address - Country:US
Practice Address - Phone:740-988-7484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker