JEANNE A WIESBROCK APN CNS NPI 1366705071

NPI Information

NPI: 1366705071
Provider Name: JEANNE A WIESBROCK, APN, CNS
Classification: Clinical Nurse Specialist - 364SN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
1775 DEMPSTER ST
PARK RIDGE, IL
ZIP 60068
Phone: (847) 723-7046
Get Directions

Jeanne A Wiesbrock, APN, CNS is a neonatal clinical nurse specialist in Park Ridge, IL. Jeanne A Wiesbrock, APN, CNS NPI is 1366705071. 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:

1775 DEMPSTER ST
PARK RIDGE, IL
ZIP 60068-143
Phone: (847) 723-7046

The enumeration date for this NPI number is 6/18/2012 and was last updated on 6/18/2012.

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	364SN0000X	Clinical Nurse Specialist	Neonatal	209.009545	ILLINOIS	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: 5/5/2024

NPI Synchronization or Removal

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