IndividualActive
Jonathan Wiese, AGNP
NPI 1487130746 · Primary Care Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1487130746
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Male
- Sole proprietor
- No
- License
- 2024008621 (MO)
Practice location
4921 Parkview Pl
Div Neurology Stroke, Ste 6c
Saint Louis, MO 63110-1032
Phone: (314) 362-7382
Fax: (314) 747-3342
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2018-07-19
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.