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

Heather Clark, APRNPMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1679308423

Heather Clark, APRNPMHNP-BC is a Nurse Practitioner in Nicholasville, Kentucky. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

506 N Main St
Nicholasville, KY 40356-1134
Phone: (866) 934-7450
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4026229 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 1137394 (KY)

Record details

NPI number1679308423
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNPMHNP-BC
Sole proprietorYes
NPI enumeratedSeptember 3, 2024
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Nicholasville