Provider Demographics
NPI:1639698863
Name:JOBWISE
Entity Type:Organization
Organization Name:JOBWISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNISE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARISIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-414-4579
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-0064
Mailing Address - Country:US
Mailing Address - Phone:615-414-4579
Mailing Address - Fax:
Practice Address - Street 1:5533 MURPHYWOOD XING
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2391
Practice Address - Country:US
Practice Address - Phone:161-541-4457
Practice Address - Fax:615-414-4579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ027164Medicaid