Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather Marie Wine, MSN, FNP-C

Individual provider Nurse Practitioner · NPI 1164342663

Heather Marie Wine, MSN, FNP-C is a Nurse Practitioner in Gray, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2026
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

136 Wine Rd
Gray, TN 37615-2485
Phone: (423) 213-2198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 42485 (TN)

Record details

NPI number1164342663
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-C
Sole proprietorYes
NPI enumeratedJuly 16, 2026
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

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