Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aydan Luke Heavner

Individual provider Physician Assistant · NPI 1093420697

Aydan Luke Heavner is a Physician Assistant in Lillington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

4350 US 421 S
Lillington, NC 27546-6760
Phone: (910) 893-1210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001004740 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093420697
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024
Mailing address924 Clear Creek Cir, Lincolnton, NC 28092-8005

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