Provider Demographics
NPI:1932921491
Name:HEFFINGTON, DEBORAH ANN (FNP-BC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:HEFFINGTON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 TELEGRAPH DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-5370
Mailing Address - Country:US
Mailing Address - Phone:803-226-0343
Mailing Address - Fax:803-226-0584
Practice Address - Street 1:3000 WOODSIDE EXECUTIVE CT STE 310
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-3831
Practice Address - Country:US
Practice Address - Phone:803-226-0343
Practice Address - Fax:803-226-0584
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29542363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty