Provider Demographics
NPI:1184066474
Name:HEWETT, ALISON ELIZABETH (APRN, NP-C)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:ELIZABETH
Last Name:HEWETT
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:E
Other - Last Name:SOLLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:
Practice Address - Street 1:2355 POPLAR LEVEL RD STE 301
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1388
Practice Address - Country:US
Practice Address - Phone:502-636-3636
Practice Address - Fax:502-636-5137
Is Sole Proprietor?:No
Enumeration Date:2013-07-27
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008184363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily