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Organization

WISE MIND AND BODY, LLC

Active
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Organization

WISE MIND AND BODY, LLC

Active
Other names
Wise Mind and Body, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOANNA WISEMAN NP (CEO/OWNER)
(631) 512-9807
Entity
Organization

Contact information

Practice address
142 NIMS SPRING DR, FORT MILL, SC 29715-6461
(631) 512-9807
Mailing address
142 NIMS SPRING DR, FORT MILL, SC 29715-6461
(631) 512-9807

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
11/08/2023
Last updated
11/13/2023
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