Wishingstone, Jean

Wishingstone, Jean is an individual health care provider with primary practice located at 124 Wheeler Rd , Mashpee MA 02649-4315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wishingstone, Jean can be contacted via phone (207) 514-3153.

Contact Information

Primary practice address
124 Wheeler Rd Mashpee MA 02649-4315
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN255104 Massachusetts

Profile Details

NPI number 1518189752
LBN Legal business name Wishingstone, Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Feb 12th, 2012 - about 13 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 1518189752 NPPES
Maine MEDICAID 432540599

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