Jonathan Richard Wiese, AGNP

Primary Care Nurse Practitioner · Saint Louis, MO

Individual Active NPI

NPI number 1487130746

Practice location

4921 Parkview Pl
Div Neurology Stroke, Ste 6c
Saint Louis, MO 63110-1032
Phone
(314) 362-7382
Fax
(314) 747-3342

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NPI record

NPI
1487130746
Entity type
Individual (Type 1)
Enumeration date
July 19, 2018
Last updated
April 17, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Primary Care Nurse Practitioner Primary 363LP2300X 2024008621 MO

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone
(314) 362-7382
Fax
(314) 747-3342

About Jonathan Wiese

Jonathan Richard Wiese, AGNP is a healthcare provider registered in the NPI registry with the primary taxonomy Primary Care Nurse Practitioner (code 363LP2300X). The practice location is 4921 Parkview Pl, Div Neurology Stroke, Ste 6c, Saint Louis, MO 63110-1032. The NPI number 1487130746 was assigned on July 19, 2018 and the record was last updated on April 17, 2025.

Jonathan Wiese lists a license in the registry: #2024008621 (MO) for Primary Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Richard Wiese, AGNP?

The NPI number is 1487130746.

What is the phone number of Jonathan Wiese?

The phone number listed for the practice location is (314) 362-7382.

Where is Jonathan Wiese located?

4921 Parkview Pl, Div Neurology Stroke, Ste 6c, Saint Louis, MO 63110-1032.

What is the taxonomy code for Jonathan Wiese?

The primary taxonomy code is 363LP2300X – Primary Care Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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