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Individual

JEANETTE ANN WIESNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4260 GLENDALE MILFORD RD, SUITE 201, CINCINNATI, OH 45242-3763
(513) 769-2762
(512) 769-2769
Mailing address
4260 GLENDALE MILFORD RD, SUITE 201, CINCINNATI, OH 45242-3763
(513) 769-2762
(512) 769-2769

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-06876
OH

Other

Enumeration date
11/11/2007
Last updated
11/11/2007
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