JACOB ANDREW HEISLMAN PMHNP-BC NPI 1457009920

NPI Information

  • NPI: 1457009920
  • Provider Name: JACOB ANDREW HEISLMAN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1747 BAPTIST CLAY DR STE 350
    FLEMING ISLAND, FL
    ZIP 32003
  • Phone: (904) 376-3800

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NPI Details

Jacob Andrew Heislman, PMHNP-BC is a psychiatric/mental health nurse practitioner in Fleming Island, FL with 5 years of experience. Jacob Andrew Heislman, PMHNP-BC NPI is 1457009920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1747 BAPTIST CLAY DR STE 350
FLEMING ISLAND, FL
ZIP 32003-504
Phone: (904) 376-3800
Fax: (904) 390-7397

The NPI 1457009920 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2022 and was last updated on 11/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11018600FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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