Individual provider · Type 1 NPI
Clisty Nicole Earlywine, NP
Nurse Practitioner · Mount Olivet, KY
Practice location
2666 Thomas Pike
Mount Olivet, KY 41064-7450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4042462 (KY) |
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…
About NPI 1255212965
Clisty Nicole Earlywine, NP's National Provider Identifier is 1255212965, issued on Sep 9, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Olivet, KY. The record was last updated on Sep 9, 2025.