Caleb Aaron Heatherly, NP

Nurse Practitioner · Joplin, MO

Individual Active NPI

NPI number 1740965896

Practice location

1102 W 32ND St
Joplin, MO 64804-3503
Phone
(417) 347-1111

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NPI record

NPI
1740965896
Entity type
Individual (Type 1)
Enumeration date
June 16, 2023
Last updated
October 24, 2023
Certified
October 24, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 2023022977 MO

About Caleb Heatherly

Caleb Aaron Heatherly, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1102 W 32ND St, Joplin, MO 64804-3503. The NPI number 1740965896 was assigned on June 16, 2023 and the record was last updated on October 24, 2023.

Caleb Heatherly lists a license in the registry: #2023022977 (MO) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Caleb Aaron Heatherly, NP?

The NPI number is 1740965896.

What is the phone number of Caleb Heatherly?

The phone number listed for the practice location is (417) 347-1111.

Where is Caleb Heatherly located?

1102 W 32ND St, Joplin, MO 64804-3503.

What is the taxonomy code for Caleb Heatherly?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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