MRS. SHARON RENEE WISE LPN CDCA NPI 1215461298

NPI Information

NPI: 1215461298
Provider Name: MRS. SHARON RENEE WISE, LPN, CDCA
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
8402 BLACKJACK RD
MOUNT VERNON, OH
ZIP 43050
Phone: (740) 397-0442
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MRS. Sharon Renee Wise, LPN, CDCA is a licensed practical nurse in Mount Vernon, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Sharon Renee Wise, LPN, CDCA NPI is 1215461298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8402 BLACKJACK RD
MOUNT VERNON, OH
ZIP 43050-193
Phone: (740) 397-0442

The enumeration date for this NPI number is 4/17/2017 and was last updated on 7/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	160873	OHIO	No
2	171M00000X	Case Manager/Care Coordinator				No
3	164W00000X	Licensed Practical Nurse		PN-090990	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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