Individual provider · Type 1 NPI

Heather Wilson

Nurse Practitioner · Berea, KY

NPI number 1417309642 Active

Practice location

104 Legacy Dr
Berea, KY 40403-9594

Mailing address

1010 Main St S
Mc Kee, KY 40447-7089

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3010517 (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 1417309642

Heather Wilson's National Provider Identifier is 1417309642, issued on Jul 12, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Berea, KY. The record was last updated on Jul 13, 2016.