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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA WISEMAN

Active Sole Proprietor

JESSICA WISEMAN is a Physician Assistant healthcare provider located in EDGEWOOD, New Mexico. NPI 1851077614 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EDGEWOOD, NM

Registration Details

NPI Number
1851077614
Provider Type
Individual
Gender
Female
NPI Issued
Jun 26, 2023 (3.1157191249023 yrs)
Last Updated
Jan 10, 2025
Sole Proprietor
Yes

Practice Information

Address
7 MUNICIPAL WAY
EDGEWOOD, NM, 87015
Browse NM providers · Browse ZIP 87015
Phone
5052813406
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in EDGEWOOD, NM

Name Credential NPI
JOSHUA JONES PA-C 1962811695
BRIAN R INGRAM PA 1700368495
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.