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

Heather Wilson

Individual provider Nurse Practitioner · NPI 1417309642

Heather Wilson is a Nurse Practitioner in Berea, Kentucky. Licensed in Kentucky. Registered with an NPI since 2016.

Licensed in
KY
In the registry since
2016

Practice location Address checks out

104 Legacy Dr
Berea, KY 40403-9594
Phone: (859) 986-2323
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3010517 (KY)

Record details

NPI number1417309642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2016
Last updated in NPPESJuly 13, 2016
Mailing address1010 Main St S, Mc Kee, KY 40447-7089

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