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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLISTY NICOLE EARLYWINE, NP

Active

CLISTY NICOLE EARLYWINE, NP is a Nurse Practitioner healthcare provider located in MOUNT OLIVET, Kentucky. NPI 1255212965 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · MOUNT OLIVET, KY

Registration Details

NPI Number
1255212965
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2025 (0.90997150426357 yrs)
Last Updated
Sep 9, 2025
License
4042462 (KY)

Practice Information

Address
2666 THOMAS PIKE
MOUNT OLIVET, KY, 410647450
Browse KY providers · Browse ZIP 41064
Phone
6067489001
Primary Specialty
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.