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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NPI Details

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
1101YA0400XCounselorAddiction (Substance Use Disorder)160873OHIONo
2171M00000XCase Manager/Care CoordinatorNo
3164W00000XLicensed Practical NursePN-090990OHIOYes

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: 11/21/2025

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