Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autumn Nicole Wiseman

Individual provider Case Manager/Care Coordinator · NPI 1215574728

Autumn Nicole Wiseman is a Case Manager/Care Coordinator in Poplar Bluff, Missouri. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

2981 Kanell Blvd
Poplar Bluff, MO 63901-4008
Phone: (573) 712-2902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1215574728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2019
Last updated in NPPESDecember 3, 2019

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