Individual
ELIZABETH LENA JEAN HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4359 NEW SHEPHERDSVILLE RD UNIT 255, BARDSTOWN, KY 40004-8004
(502) 350-5800
(502) 350-5820
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(502) 350-5800
(502) 350-5820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3014489
KY
363LP2300X
Primary Care Nurse Practitioner
Primary
3014489
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100666810
—
KY
Enumeration date
04/08/2020
Last updated
01/27/2025
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