Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORETTA SUE WILSON, N.P
ActiveLORETTA SUE WILSON, N.P is a Nurse Practitioner healthcare provider located in GRAY, Kentucky. NPI 1407002603 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · GRAY, KY
Registration Details
- NPI Number
- 1407002603
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2008 (18.023605153967 yrs)
- Last Updated
- Dec 10, 2018
- Licenses
-
3005770 (KY)1083291 (KY)
Practice Information
- Address
-
39 CUMBERLAND GAP PLZGRAY, KY, 407344536Browse KY providers · Browse ZIP 40734
- Phone
- 6065269005
- Fax
- 6065268606
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in GRAY, KY
| Name | Credential | NPI |
|---|---|---|
| NATASHA GARRISON | APRN | 1023761327 |
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.