Individual
JENNA L WISHNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6898 LEBANON RD, SUITE 103, FRISCO, TX 75034-7473
(972) 335-7874
(214) 872-3455
Mailing address
6898 LEBANON RD, SUITE 103, FRISCO, TX 75034-7473
(972) 335-7874
(214) 872-3455
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N8363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285930801
—
TX
Enumeration date
07/24/2007
Last updated
04/02/2021
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