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Search › Florida › 225700000X

Jacqueline Wiesner

NPI 1760998173 · on the registry since 2017 · sole proprietor

Practice

Address
13180 N Cleveland Ave Ste 117
North Fort Myers, FL 33903
Phone
(239) 218-3764
Organisation at this address
Supports R Us
Thunder Minds Inc
Thunder Minds Inc
Molina Home Care Llc
Elder S Joy Care Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida