Individual
TOBY WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
301 W BOUNDARY AVE, WINNFIELD, LA 71483-3427
(318) 648-3000
Mailing address
185 SHOWS WALKER RD, JONESBORO, LA 71251-6628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09183
LA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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