Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clisty Nicole Earlywine, NP

Individual provider Nurse Practitioner · NPI 1255212965

Clisty Nicole Earlywine, NP is a Nurse Practitioner in Mount Olivet, Kentucky. Qualified in 2025, 1 year ago. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2666 Thomas Pike
Mount Olivet, KY 41064-7450
Phone: (606) 748-9001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4042462 (KY)

Record details

NPI number1255212965
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare