Individual provider · NPI-1

Deanne Wise

Nurse Practitioner, Family · Kingwood, TX

NPI number1689339608
StatusActive
Last updated in NPPESDec 3, 2025

Details

NPI
1689339608
Entity type
Individual (NPI-1)
Name
Deanne Wise
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 4, 2021
Certification date
Dec 3, 2025
Last updated
Dec 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family1058125TXYes
208100000X Physical Medicine & Rehabilitation1058125TX

Practice location

22999 Highway 59 N
Kingwood, TX 77339-4412

Phone 281-348-8600

Mailing address

1776 Woodstead Ct Ste 208
The Woodlands, TX 77380-1480

Phone 877-749-7428

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Kingwood, TX