Provider Demographics
NPI:1619216231
Name:BEGEMANN, HEATHER N
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:N
Last Name:BEGEMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:N
Other - Last Name:JESKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:19600 E 39TH ST S
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-2301
Mailing Address - Country:US
Mailing Address - Phone:913-222-9779
Mailing Address - Fax:816-312-4380
Practice Address - Street 1:19550 E 39TH ST S STE 419
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2307
Practice Address - Country:US
Practice Address - Phone:913-222-9779
Practice Address - Fax:816-698-7378
Is Sole Proprietor?:No
Enumeration Date:2013-02-01
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013003479363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily