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

Mrs. Nancy J. Heffernan, NP

Individual provider Registered Nurse · NPI 1790869097

Mrs. Nancy J. Heffernan, NP is a Registered Nurse in Stockton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

415 W Benjamin Holt Dr D-4
Stockton, CA 95207-3958
Phone: (209) 472-7569
Fax: (209) 477-1065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 19052 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 658516 (CA)

Record details

NPI number1790869097
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESJuly 23, 2009

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