Individual
JEANA RAE WISINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11800 SANDY BOTTOM RD NE, GREENVILLE, MI 48838-9353
(616) 443-3839
Mailing address
11800 SANDY BOTTOM RD NE, GREENVILLE, MI 48838-9353
(616) 443-3839
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
4704230821NSA2206N
MI
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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