Jonathan Scott Wylie, NP
Nurse Practitioner in Fresno, CA. Individual provider (NPI-1).
NPI number1649588682
StatusActive
Last updated in NPPESDec 23, 2024
Details
- NPI
- 1649588682
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Scott Wylie
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2010
- Certification date
- Dec 23, 2024
- Last updated
- Dec 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95003667 | CA | Yes |
Practice location
2335 E Kashian Ln Ste 240Fresno, CA 93701-2211
Phone 559-320-0545 · Fax 559-320-0550
Mailing address
2625 E Divisadero StFresno, CA 93721-1431
Phone 559-443-2682 · Fax 559-443-2681
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All 214 Nurse Practitioner providers in Fresno · All 23,426 providers in Fresno
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