Jessica Wiseman

NPI #1851077614 in Edgewood, New Mexico

Provider Information

NPI Number: 1851077614
Entity Type: Individual
Name: Jessica Wiseman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Jun 26, 2023
Last Updated: Jan 10, 2025

Practice Location

Address: 7 MUNICIPAL WAY
City: Edgewood
State: New Mexico
ZIP Code: 87015
Phone: (505) 281-3406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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