Provider Demographics
NPI:1891730529
Name:HIEBER, JANET L
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:L
Last Name:HIEBER
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:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:TN
Mailing Address - Zip Code:37357-0132
Mailing Address - Country:US
Mailing Address - Phone:615-476-8883
Mailing Address - Fax:
Practice Address - Street 1:2981 HICKORY GROVE RD
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:TN
Practice Address - Zip Code:37357
Practice Address - Country:US
Practice Address - Phone:615-476-8883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 8080363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3909655Medicaid
TN3909655Medicare ID - Type Unspecified
TN39096551Medicare PIN
TN3909655Medicaid