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HEATHER WILSON
NPI 1417309642
Nurse Practitioner in Berea, KY

Active since July 12, 2016
104 LEGACY DR, BEREA, KY 40403(859) 986-2323 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER WILSON (NPI 1417309642) is an individual nurse practitioner in Berea, Kentucky, licensed in Kentucky (3010517) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1417309642
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER WILSON
Location Address104 LEGACY DRBerea, KY 40403-9594
Mailing Address1010 Main St SMc Kee, KY 40447-7089 · (859) 626-7700 · Fax (859) 626-7890
Phone(859) 986-2323
Sole ProprietorNo
Enumeration DateJuly 12, 2016
Last NPPES UpdateJuly 13, 2016
✔ NPI 1417309642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3010517
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
104 LEGACY DR, Berea, KY 40403
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA CLAIRE MOBERLY DMD
Dentist
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
HEALTH HELP INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
COLLEEN E AMBROSE NP
Nurse Practitioner
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
LAURA A CLICK LCSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
AUDREY GRACE TRUETT CSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
MA JOY SANDRA BUENAFE DIONISIO M.D.
Internal Medicine
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
MS. ONEIDA SUE HELTON-PECK APRN
Nurse Practitioner (Family)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
EMILY LOUISE JONES
Dentist
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Wilson's NPI number?

The NPI number for Heather Wilson is 1417309642. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Heather Wilson located?

Heather Wilson practices at 104 Legacy Dr, Berea, KY 40403. The listed phone number is (859) 986-2323.

What is Heather Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Heather Wilson was last updated on July 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.