Provider Demographics
NPI:1992143994
Name:MCALISTER, HEATHER KILPATRICK (APRN)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:KILPATRICK
Last Name:MCALISTER
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:79 GRISHAM RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37334-7016
Mailing Address - Country:US
Mailing Address - Phone:931-652-0165
Mailing Address - Fax:931-433-8911
Practice Address - Street 1:2241 THORNTON TAYLOR PKWY
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37334-3637
Practice Address - Country:US
Practice Address - Phone:931-433-6456
Practice Address - Fax:931-433-8911
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2020-02-14
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Provider Licenses
StateLicense IDTaxonomies
TN194385163W00000X
TNAPN0000027210363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse