Individual
LISA C WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
98 MOSIER PKWY, BROOKVILLE, OH 45309-1750
(937) 833-4103
(937) 833-3147
Mailing address
3008 JORDAN RD, WEST ALEXANDRIA, OH 45381-9710
(937) 474-8966
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0039475
OH
Other
Enumeration date
06/13/2025
Last updated
10/27/2025
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