Individual
MS. JENNIFER E WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN-C
Contact information
Practice address
1000 GALLOPING HILL ROAD, SUITE 106, SUMMIT, NJ 07901
(908) 598-7950
(908) 686-1163
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN09300100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223170423
FEDERAL TAX ID
—
Enumeration date
05/16/2006
Last updated
05/13/2025
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