Kathryn Janice Heacock
DNP, APRN-CNS, CRNP | Nurse Practitioner
22 S Greene St, Baltimore
Maryland, 21201-1590
410-328-4622
Kathryn Janice Heacock is a Baltimore, Maryland based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Kathryn Janice Heacock is CS00199 for Nurse Practitioner in Maryland. Her current practice location is 22 S Greene St, Baltimore. Patients can reach her at 410-328-4622. Kathryn Janice Heacock is DNP, APRN-CNS, CRNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1962118695.
Kathryn Janice Heacock has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kathryn Janice Heacock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kathryn Janice Heacock |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | DNP, APRN-CNS, CRNP |
| Practice Address: | 22 S Greene St, Baltimore,
Maryland, 21201-1590 |
| Phone: | 410-328-4622 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1962118695 |
| NPI Enumeration Date: | 26 Jan, 2023 |
| NPI Last Update On: | 21 Aug, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathryn Janice Heacock are as mentioned below.
| License Number | Specialization | State | Status | |
| CS00199 | Nurse Practitioner | Maryland | Primary | |
| R226946 | Acute Care | Maryland | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kathryn Janice Heacock
1035 Nabbs Creek Rd,
Glen Burnie, Maryland |
| Zip: | 21060-8435 |
| Phone Number: | 919-593-4201 |
Patients can reach Kathryn Janice Heacock at
22 S Greene St, Baltimore, Maryland or can
call to book an appointment on 410-328-4622.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.