Mackey, Heather Thompson

Mackey, Heather Thompson is an individual health care provider with primary practice located at 250 Charlois Blvd , Winston Salem NC 27103. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mackey, Heather Thompson can be contacted via phone (336) 718-1000.

Contact Information

Primary practice address
250 Charlois Blvd Winston Salem NC 27103
Phone: (336) 718-1000
Fax: (336) 718-1052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 900298 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 900298 North Carolina

Profile Details

NPI number 1467443630
LBN Legal business name Mackey, Heather Thompson
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Oct 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467443630 NPPES
North Carolina MEDICAID 7003716

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