DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA C WISE, AGNP-C

Active

LISA C WISE, AGNP-C is a Adult Health Nurse Practitioner healthcare provider located in BROOKVILLE, Ohio. NPI 1174419642 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · BROOKVILLE, OH

Registration Details

NPI Number
1174419642
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2025 (1.1413575217421 yrs)
Last Updated
Oct 27, 2025
License
APRN.CNP.0039475 (OH)

Practice Information

Address
98 MOSIER PKWY
BROOKVILLE, OH, 453091750
Browse OH providers · Browse ZIP 45309
Phone
9378334103
Fax
9378333147
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.