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Individual

LINDSEY RENEE WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
3235 SW 34TH ST STE 101, OCALA, FL 34474-7502
(800) 457-4573
Mailing address
911 HUBBARD LOOP, THE VILLAGES, FL 32163-0605
(734) 693-4520

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11023667
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704315809
MI

Other

Enumeration date
01/25/2023
Last updated
03/07/2025
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