Heather Mae Fussell, APRN
Individual provider Active NPI Family Nurse Practitioner · Williston, FL
NPI 1992372494 · NPPES record last updated Jun 4, 2021
Key facts
- NPI
- 1992372494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11013418 (FL)
- Practice address
- 223 N Main St
Williston, FL 32696-2136 - Phone
- (352) 529-0477
- NPI assigned
- Jun 4, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013418 | FL | MD | Family Nurse Practitioner |
Interoperability endpoints
- heatherfussell@willistonpeds.directglo.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11013418 | FL | Yes |
Addresses
Primary practice location
223 N Main St
Williston, FL 32696-2136
Mailing address
223 N Main St
Williston, FL 32696-2136
Other providers in Williston, FL
- Linda Etheridge
- Polly Flaxman
- Florida Rehab Specialists, PLLC
- Richard Joseph Fontaine III
- Kendra Claude Fugate
- Casady Blauw Gaines
- Sumayya Ghalaini
- Gina Pitocchelli Inc
- Carrie Corine Glebe
- Good Samaritan Retirement Home
All providers in Williston, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.