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

Mr. Willie Stephan Van Heerde, MD

Individual provider Family Medicine Physician · NPI 1982496212

Mr. Willie Stephan Van Heerde, MD is a Family Medicine Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2500 N State St
Jackson, MS 39216
Phone: (601) 674-1000
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence T-5800 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982496212
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2025
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Other providers in Jackson