Mrs Windy Jo Wisener, CRNP | |
4433 Black Rd, Blountsville, AL 35031-5942 | |
(205) 456-0962 | |
Not Available |
Full Name | Mrs Windy Jo Wisener |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 4433 Black Rd, Blountsville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619235009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-108981 (Alabama) | Primary |
Entity Name | Long Term Care Physicians Of Alabama Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194819375 PECOS PAC ID: 2769443969 Enrollment ID: O20041021000494 |
Entity Name | Eastern Hospital Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104859123 PECOS PAC ID: 8325044597 Enrollment ID: O20061011000241 |
Entity Name | Advantage Family Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023447943 PECOS PAC ID: 7618103748 Enrollment ID: O20131120001477 |
Entity Name | Russellville Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
Entity Name | Dermaccel Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992582241 PECOS PAC ID: 7618323130 Enrollment ID: O20231019001715 |
Mailing Address | Practice Location Address |
---|---|
Mrs Windy Jo Wisener, CRNP Po Box 339, Cullman, AL 35056-0339 Ph: (256) 739-9593 | Mrs Windy Jo Wisener, CRNP 4433 Black Rd, Blountsville, AL 35031-5942 Ph: (205) 456-0962 |