Individual provider · Type 1 NPI

Judith A. Wienke, NP

Nurse Practitioner · Jefferson City, MO

NPI number 1013988633 Active

Practice location

1241 W Stadium Blvd
Jefferson City, MO 65109-6023

Fax (573) 634-7423

Mailing address

PO Box 104240
Jefferson City, MO 65110-4240

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X089694 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013988633

Judith A. Wienke, NP's National Provider Identifier is 1013988633, issued on Jan 31, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jefferson City, MO. The record was last updated on Jan 9, 2014.