Individual provider · Type 1 NPI

Genette Jill Wise, LPN

Licensed Practical Nurse · Mountain Home, AR

NPI number 1356266407 Active

Practice location

618 N College St
Mountain Home, AR 72653-2406

Fax (870) 425-1264

Mailing address

171 Harlin Dr
Gainesville, MO 65655-7383

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2015039976 (MO)

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.

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About NPI 1356266407

Genette Jill Wise, LPN's National Provider Identifier is 1356266407, issued on Aug 10, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mountain Home, AR. The record was last updated on Aug 10, 2026.