Organization · Type 2 NPI

Restore Wellness

Nurse Practitioner · Louisville, KY

NPI number 1043917396 Active

Practice location

13125 Eastpoint Park Blvd Ste 105
Louisville, KY 40223-3169

Call (502) 810-8961 Map

Mailing address

4207 Jeffers Dr
New Albany, IN 47150-9312

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043917396

Restore Wellness's National Provider Identifier is 1043917396, issued on Feb 7, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Louisville, KY. The record was last updated on Jan 20, 2026.