Vicki L. Hisle, MSN, FNP-BC
Individual provider Active NPI Nurse Practitioner · Richmond, KY
NPI 1770545899 · NPPES record last updated Sep 23, 2009
Key facts
- NPI
- 1770545899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3630P (KY)
- Practice address
- 890 Richmond PLZ
Richmond, KY 40475-2564 - Phone
- (859) 623-5155
- Fax
- (859) 623-9924
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3630P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SE Kentucky Family Practice Clinics Inc | Past | Accepting new patients | |
| Crab Orchard Family Practice Clinic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3630P | KY | Yes |
Addresses
Primary practice location
890 Richmond PLZ
Richmond, KY 40475-2564
Mailing address
254 Solar Dr
Mount Vernon, KY 40456-6499
Phone (606) 256-8362
Other providers in Richmond, KY
- Jennifer Hight
- Katelyn Hileman
- Megan Nikole Hill
- Sharonda Hill
- Francis J Hinsberg
- Ian Blake Holbrook
- Tina Holbrook
- Mark Vincent Holcomb II
- Kyle Holdeman
- Gabrielle Kiedren Louise Holden
All providers in Richmond, KY · 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 Sep 23, 2009. 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.