Heather Dawn Prevost

Nurse Practitioner · Lenox, MI

Individual Active NPI

NPI number 1073196697

Practice location

36555 26 Mile Rd Ste 1100
Lenox, MI 48048-3186
Phone
(947) 523-4010

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NPI record

NPI
1073196697
Entity type
Individual (Type 1)
Enumeration date
May 2, 2021
Last updated
April 14, 2026
Certified
April 14, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 4704279946 MI
Family Nurse Practitioner 363LF0000X 4704279946 MI
Family Nurse Practitioner 363LF0000X F09210133 MI
Emergency Registered Nurse 163WE0003X 4704279946 MI

Mailing address

36555 26 Mile Rd
Lenox, MI 48048-3185
Phone
(947) 523-4010

About Heather Prevost

Heather Dawn Prevost is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 36555 26 Mile Rd Ste 1100, Lenox, MI 48048-3186. The NPI number 1073196697 was assigned on May 2, 2021 and the record was last updated on April 14, 2026.

Heather Prevost lists 4 licenses in the registry: #4704279946 (MI) for Nurse Practitioner; #4704279946 (MI) for Family Nurse Practitioner; #F09210133 (MI) for Family Nurse Practitioner; #4704279946 (MI) for Emergency Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Heather Dawn Prevost?

The NPI number is 1073196697.

What is the phone number of Heather Prevost?

The phone number listed for the practice location is (947) 523-4010.

Where is Heather Prevost located?

36555 26 Mile Rd Ste 1100, Lenox, MI 48048-3186.

What is the taxonomy code for Heather Prevost?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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