Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA WISE, M.D.
ActiveJESSICA WISE, M.D. is a Surgical Critical Care healthcare provider located in FORT WALTON BEACH, Florida. NPI 1336594050 is currently active in the NPPES registry. Verify at CMS.
Surgical Critical Care · FORT WALTON BEACH, FL
Registration Details
- NPI Number
- 1336594050
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2016 (10.3228359656 yrs)
- Last Updated
- Jul 26, 2022
- Licenses
-
158015 (FL)158015 (FL)158015 (FL)
Practice Information
- Address
-
320 RACETRACK RD NW STE 100BFORT WALTON BEACH, FL, 325471796Browse FL providers · Browse ZIP 32547
- Phone
- 8503749610
- Fax
- 8503749611
- Primary Specialty
-
Surgical Critical Care
2086S0102X
- Additional Specialty
- General Surgery
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Surgical Critical Care
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.