NPI 1013988633

Judith A. Wienke, NP

Practitioner Nurse Practitioner Jefferson City, MO

Practice location

Address: 1241 W Stadium Blvd, Jefferson City, MO 65109-6023
Phone: (573) 635-5264
Fax: (573) 634-7423
Mailing address: PO Box 104240, Jefferson City, MO 65110-4240

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 089694 (MO)

Other Nurse Practitioner providers in Missouri →

Registry record

NPI: 1013988633
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2006
Record last updated: 9 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.