Alive & Well LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Greenville, KY
NPI 1497526198 · NPPES record last updated Jan 11, 2024
Key facts
- NPI
- 1497526198
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ALIVE & WELL LLC
- Practice address
- 110 W Main Cross St
Greenville, KY 42345-1202 - Phone
- (270) 216-2212
- Fax
- (270) 297-8311
- NPI assigned
- Jan 11, 2024
- Organization subpart
- No
Authorized official
- Name
- Donna J Wilson, APRN
- Title
- Aprn, Owner
- Phone
- (270) 216-2212
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
110 W Main Cross St
Greenville, KY 42345-1202
Mailing address
908 E Broad St
Central City, KY 42330-1532
Phone (270) 216-2212
Other providers in Greenville, KY
- Kathy Gay Adkins
- Alligatorfish Emergency Physicians LLC
- Kristen Leshae Arbuckle
- Jason Louis Armstrong
- April Michelle Ashby
- Landon Atcher
All providers in Greenville, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.