IndividualActive
Loretta Wilson, N.P
NPI 1407002603 · Nurse Practitioner · Gray, KY
Provider details
- NPI number
- 1407002603
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P
- Sex
- Female
- Sole proprietor
- No
- License
- 3005770 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
39 Cumberland Gap Plz
Gray, KY 40734-4536
Phone: (606) 526-9005
Fax: (606) 526-8606
Approximate (ZIP-level) locationGet directions
Mailing address
1019 Cumberland Falls Hwy
Corbin, KY 40701-2735
Registry dates
- Enumerated
- 2008-08-07
- Last updated
- 2018-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.