| Mrs Windy Jo Wisener, CRNP | |
| 4433 Black Rd, Blountsville, AL 35031-5942 | |
| (205) 456-0962 | |
| Not Available | 
| Full Name | Mrs Windy Jo Wisener | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 4433 Black Rd, Blountsville, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619235009 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-108981 (Alabama) | Primary | 
| Entity Name | Eastern Hospital Medicine Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104859123 PECOS PAC ID: 8325044597 Enrollment ID: O20061011000241 | 
| Entity Name | Advantage Family Care Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023447943 PECOS PAC ID: 7618103748 Enrollment ID: O20131120001477 | 
| Entity Name | Russellville Hospital Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761 | 
| Entity Name | Signify Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 | 
| Entity Name | Dermaccel | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992582241 PECOS PAC ID: 7618323130 Enrollment ID: O20231019001715 | 
| Entity Name | Medical Director Services Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20250319000502 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Windy Jo Wisener, CRNP Po Box 339, Cullman, AL 35056-0339 Ph: (256) 739-9593 | Mrs Windy Jo Wisener, CRNP 4433 Black Rd, Blountsville, AL 35031-5942 Ph: (205) 456-0962 |