Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSIE G WISE, CRM
ActiveJESSIE G WISE, CRM is a Peer Specialist healthcare provider located in LA GRANDE, Oregon. NPI 1174012041 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · LA GRANDE, OR
Registration Details
- NPI Number
- 1174012041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2018 (8.246223991516 yrs)
- Last Updated
- May 7, 2018
- License
-
18-CRM-092 (OR)
Practice Information
- Address
-
1501 6TH STLA GRANDE, OR, 978502419Browse OR providers · Browse ZIP 97850
- Phone
- 5419620162
- Fax
- 5419620162
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in LA GRANDE, OR
| Name | Credential | NPI |
|---|---|---|
| ERICA PEREZ | — | 1629533633 |
| MATTHEW A CHRISTENSEN | CRM | 1396367280 |
| ABIGAIL A BROWN | CRM | 1588267678 |
| SEAN MICHAEL CREWS | — | 1013589357 |
| MARK SAGARIA | — | 1679146708 |
| TABITHA I JENKINS | — | 1205409521 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.