Provider Demographics
NPI:1891776738
Name:PARSLEY, HEATHER WYATT (APRN)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:WYATT
Last Name:PARSLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:270-688-1330
Mailing Address - Fax:270-688-1338
Practice Address - Street 1:9847 ELIZABETHTOWN RD
Practice Address - Street 2:
Practice Address - City:BIG CLIFTY
Practice Address - State:KY
Practice Address - Zip Code:42712-5880
Practice Address - Country:US
Practice Address - Phone:270-242-2000
Practice Address - Fax:270-242-2100
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1094208163W00000X
KY3004376363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100020470Medicaid
KY7100020470Medicaid