Jonathan Richard Wiese, AGNP

Nurse practitioner in Spring, Texas · NPI 1487130746

Jonathan Wiese is one of 221 nurse practitioners practicing in Spring, Texas. Jonathan Wiese practices with Legacy Healthcare Services Inc.

Registry record (NPPES)

NPI
1487130746
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Address on file
4921 Parkview Pl
Saint Louis, MO 63110-1032
(314) 362-7382
Enumerated
Jul 19, 2018
Record last updated
Apr 17, 2025
License states listed
MO

Medicare (CMS)

Enrollment
Medicare-enrolled in MO, TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.