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