Individual provider · Type 1 NPI

Heather Dawn Prevost

Nurse Practitioner · Lenox, MI

NPI number 1073196697 Active

Practice location

36555 26 Mile Rd Ste 1100
Lenox, MI 48048-3186

Mailing address

36555 26 Mile Rd
Lenox, MI 48048-3185

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704279946 (MI)
Family Nurse Practitioner 363LF0000X4704279946 (MI)
Family Nurse Practitioner 363LF0000XF09210133 (MI)
Emergency Registered Nurse 163WE0003X4704279946 (MI)

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 1073196697

Heather Dawn Prevost's National Provider Identifier is 1073196697, issued on May 2, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lenox, MI. The record was last updated on Apr 14, 2026.