Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Heather Leigh Brackenott, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1841003092

Mrs. Heather Leigh Brackenott, PMHNP-BC is a Nurse Practitioner in Massillon, Ohio. Qualified in 2017, 9 years ago. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2174 Richville Dr SW Apt Ste
Massillon, OH 44646-8897
Phone: (330) 417-1445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0038589 (OH)

Record details

NPI number1841003092
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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