Individual provider · Type 1 NPI

Lisa C. Wise, AGNP-C

Adult Health Nurse Practitioner · Brookville, OH

NPI number 1174419642 Active

Practice location

98 Mosier Pkwy
Brookville, OH 45309-1750

Fax (937) 833-3147

Mailing address

3008 Jordan Rd
West Alexandria, OH 45381-9710

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAPRN.CNP.0039475 (OH)

Adult Health Nurse Practitioner: Definition to come...

4 other providers at this address

About NPI 1174419642

Lisa C. Wise, AGNP-C's National Provider Identifier is 1174419642, issued on Jun 13, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brookville, OH. The record was last updated on Oct 27, 2025.