Individual
JONATHAN SCOTT WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2335 E KASHIAN LN STE 240, FRESNO, CA 93701-2211
(559) 320-0545
(559) 320-0550
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95003667
CA
Other
Enumeration date
09/23/2010
Last updated
12/23/2024
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