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

Heather Tully, MSNFNP

Individual provider Registered Nurse · NPI 1336637453

Heather Tully, MSNFNP is a Nurse Practitioner in Wakeman, Ohio. Qualified in 2018, 8 years ago. Practices with Stafford Services, Inc, a 28-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

56 E Main St
Wakeman, OH 44889-9492
Phone: (216) 267-5445
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.023337 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.347407 (OH)

Record details

NPI number1336637453
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNFNP
Sole proprietorNo
NPI enumeratedApril 24, 2018
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Stafford Services, Inc. — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wakeman