Individual provider · Type 1 NPI

Delisa Caudill, APRN

Nurse Practitioner · Prestonsburg, KY

NPI number 1629471602 Active

Practice location

5322 Ky Route 321
Prestonsburg, KY 41653-9114

Fax (606) 886-2713

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11033598 (FL)
Family Nurse Practitioner 363LF0000X3008916 (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 1629471602

Delisa Caudill, APRN's National Provider Identifier is 1629471602, issued on Oct 3, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Prestonsburg, KY. The record was last updated on Aug 7, 2026.