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

MS. Heather Dawn Prevost

Individual provider Nurse Practitioner · NPI 1073196697

MS. Heather Dawn Prevost is a Nurse Practitioner in Lenox, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
4

Practice location Address checks out

36555 26 Mile Rd Ste 1100
Lenox, MI 48048-3186
Phone: (947) 523-4010
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704279946 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704279946 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F09210133 (MI)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 4704279946 (MI)

Record details

NPI number1073196697
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 2, 2021
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address36555 26 Mile Rd, Lenox, MI 48048-3185

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