| NPI | 1164437877 |
|---|---|
| Former Name | JO NELL WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 604569) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 604569) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |