Mrs. Jill Elizabeth Wiese
Nurse Practitioner - Neonatal
19600 E 39th St S Attn: Nicu
Independence
, Missouri 64057-2301
Mrs. Jill Elizabeth Wiese
Nurse Practitioner - Neonatal
19600 E 39th St S Attn: Nicu
Independence
, Missouri 64057-2301
(816) 698-7340
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Mrs. Jill Elizabeth Wiese
- 19600 E 39th St S Attn: Nicu
- Independence, MO
- Zip : 64057-2301
- Phone : (816) 698-7340
Second Address
- Mrs. Jill Elizabeth Wiese
- 19600 E 39th St S Attn: Nicu
- Independence, MO
- Zip : 64057-2301
- Phone : (816) 698-7340
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 2010028802 | MO |
National Provider Identifier
| NPI | 1043526429 |
|---|---|
| Provider Name | Mrs. Jill Elizabeth Wiese |
| First Address | Independence, MO 64057-2301 |
| Second Address | Independence, MO 64057-2301 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2010 |
| Last Update Date | 24/08/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.