COURTNEY JANA WISE (NPI# 1992218929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992218929 |
| Entity Type | Individual |
| Full Name | COURTNEY JANA WISE |
| Credential | LPN |
| Practice Address |
32 Rutgers Dr Newark NJ 07103-3087 |
| Practice Telephone | 9086361258 |
| Mailing Telephone | 9086361258 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 325202-10 | NY | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | 26NP07273800 | NJ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629457619 | Courtney H Wise | Case Manager/Care Coordinator | 975 A Kingsview Drive, Lebanon, OH 45036-9562 | 2015-05-22 |
| 1124506100 | Courtney Wise | Behavior Technician | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2018-08-01 |
| Street Address |
32 RUTGERS DR |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-3087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285246348 | Emma Ladelfa | Licensed Practical Nurse | 109 Williams St, Newark, NY 14513-1740 | 2020-08-20 |
| 1174146757 | Andrea Nicole Skidmore | Licensed Practical Nurse | 1060 Stewart St, Newark, OH 43055-6030 | 2020-05-18 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1619514601 | Marian Nwalor | Licensed Practical Nurse | 116 Dickerson St, Newark, NJ 07107-4359 | 2019-12-09 |
| 1477013365 | Michael Fitzgerald West Jr. | Licensed Practical Nurse | 1052 Woodhill, Newark, NY 14513-2046 | 2019-03-25 |
| 1609332592 | Chrystal Renee Greene | Licensed Practical Nurse | 1035 Woodhill, Newark, NY 14513-2047 | 2019-02-15 |
| 1881159275 | Marie A Randall | Licensed Practical Nurse | 304 Weequahic Ave # 1, Newark, NJ 07112-1437 | 2019-02-10 |
| 1992274419 | Helene Affoue Aka | Licensed Practical Nurse | 87 S 6th St, Newark, NJ 07107-2009 | 2018-11-14 |
| 1497257562 | Nicole Harris | Licensed Practical Nurse | 419 E Miller St, Newark, NY 14513-1563 | 2018-03-06 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on COURTNEY JANA WISE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.