| Doctor Name: | HEATHER NICOLE MASON |
| NPI Number: | 1245318666 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 5033P |
| Business Practice Address: | 438 Adam Shepherd Pkwy Suite 1 Shepherdsville, KY - 401656640 |
| Business Phone Number: | 5025431055 |
| Business Fax Number: | 5025431052 |
| Mailing Address: | Po Box 950202, LOUISVILLE |
| State: | KY |
| Postal Code: | 402950202 |
| Phone Number: | 5025889490 |
| Fax Number: | 5022725339 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5033P |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |