Individual
RONETTE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5 MARKET PL, PARAGOULD, AR 72450-3555
(870) 236-4001
(870) 236-4009
Mailing address
5 MARKET PL, PARAGOULD, AR 72450-3555
(870) 236-4001
(870) 236-4009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R33433
AR
363LF0000X
Family Nurse Practitioner
Primary
A003308
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A003308
ARKANSAS STATE BOARD OF NURSING
AR
01
—
P00897
RNP
AR
01
—
R33433
RN LICENSE
AR
Enumeration date
08/09/2006
Last updated
04/02/2025
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