Individual provider · Type 1 NPI

Marisa Wooten, WHNP-BC

Registered Nurse · Versailles, KY

NPI number 1720994940 Active

Practice location

2050 Lexington Rd
Versailles, KY 40383-1738

Mailing address

6012 Linden Cir
Tamarac, FL 33319-3019

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X9535484 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1720994940

Marisa Wooten, WHNP-BC's National Provider Identifier is 1720994940, issued on Aug 19, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Versailles, KY. The record was last updated on Aug 19, 2026.