Individual
MRS. WINDY JO WISENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4433 BLACK RD, BLOUNTSVILLE, AL 35031-5942
(205) 456-0962
Mailing address
PO BOX 339, CULLMAN, AL 35056-0339
(256) 739-9593
(256) 739-2984
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-108981
AL
Other
Enumeration date
04/24/2012
Last updated
10/26/2021
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