Individual
MRS. LORI JEAN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1214 E NATIONAL AVE STE 90A, BRAZIL, IN 47834-2746
(812) 442-2900
Mailing address
1214 E NATIONAL AVE STE 90A, BRAZIL, IN 47834-2746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006248A
IN
Other
Enumeration date
05/02/2016
Last updated
05/30/2023
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