Healthcare Provider Details

I. General information

NPI: 1972445500
Provider Name (Legal Business Name): ALLISON O'CONNER MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 BIRCHWOOD DR
FT WRIGHT KY
41011-2720
US

IV. Provider business mailing address

301 BIRCHWOOD DR
FT WRIGHT KY
41011-2720
US

V. Phone/Fax

Practice location:
  • Phone: 859-750-2255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4054208
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0041271
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: