Individual provider · Type 1 NPI

Loretta Sue Wilson, N.P

Nurse Practitioner · Gray, KY

NPI number 1407002603 Active

Practice location

39 Cumberland Gap Plz
Gray, KY 40734-4536

Call (606) 526-9005 Map

Fax (606) 526-8606

Mailing address

1019 Cumberland Falls Hwy, Suite B201
Corbin, KY 40701-2735

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3005770 (KY)
Nurse Practitioner 363L00000X1083291 (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…

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About NPI 1407002603

Loretta Sue Wilson, N.P's National Provider Identifier is 1407002603, issued on Aug 7, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gray, KY. The record was last updated on Dec 10, 2018.