Wiseman, Jean Marie

Wiseman, Jean Marie is an individual health care provider with primary practice located at 78 Thornton Ave , Auburn NY 13021-4655. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Wiseman, Jean Marie can be contacted via phone (315) 255-8800.

Contact Information

Primary practice address
78 Thornton Ave Auburn NY 13021-4655
Phone: (315) 255-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F300942-1 New York
Nursing Service Providers / Registered Nurse 163W00000X 382891 New York

Profile Details

NPI number 1205850203
LBN Legal business name Wiseman, Jean Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205850203 NPPES
New York MEDICAID 02636726

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