Wise, Jacquelyn N

Wise, Jacquelyn N is an sole proprietor health care provider with primary practice located at 250 Guilford Blvd , Medina OH 44256-2135. She recently has 15 registered licenses in different health care specialties including Agencies / Supports Brokerage, Agencies / In Home Supportive Care, Transportation Services / Private Vehicle, Nursing Service Related Providers / Adult Companion, Ambulatory Health Care Facilities / Adult Day Care, Transportation Services / Non-emergency Medical Transport (VAN), Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Professional, Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Driver, Agencies / Day Training, Developmentally Disabled Services, Nursing Service Related Providers / Home Health Aide, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Wise, Jacquelyn N can be contacted via phone (330) 590-7034.

Contact Information

Primary practice address
250 Guilford Blvd Medina OH 44256-2135
Phone: (330) 590-7034
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Supports Brokerage 251X00000X
Agencies / In Home Supportive Care 253Z00000X
Transportation Services / Private Vehicle 347C00000X
Nursing Service Related Providers / Adult Companion 372600000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Other Service Providers / Driver 172A00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Nursing Service Related Providers / Home Health Aide 374U00000X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1215757208
LBN Legal business name Wise, Jacquelyn N
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2024
Last updated Oct 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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