MEDICARE: JESSICA WISSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	BD61610578	WA

General Provider Information

NPI Number	:	1033917901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA WISSE

Provider Business Mailing Address
First Line	:	2011 HOPE VALLEY RD
Second Line	:
City	:	ELTOPIA
State	:	WA
Zip	:	99330-9716
Country	:	US
Telephone Number	:	509-531-0193
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 HOPE VALLEY RD
Second Line	:
City	:	ELTOPIA
State	:	WA
Zip	:	99330-9716
Country	:	US
Telephone Number	:	509-531-0193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/05/2025

Similar Medicare Providers

1871969931 — JESSICA INFANTE-CASTRO MA
Practice Location Address:

100 WALLA WALLA AVE
ELTOPIA, WA
99330-9611

Practice Phone: 509-845-6270
Practice Fax:

1962271239 — COLUMBIA BASIN FAMILY THERAPY, LLC
Practice Location Address:

1619 W OCTAVE ST
PASCO, WA
99301-4045

Practice Phone: 509-845-6270
Practice Fax:

1326852377 — YESENIA ARMENTA ROBLEDO
Practice Location Address:

940 NORTHGATE DR
RICHLAND, WA
99352-3505

Practice Phone: 509-542-4571
Practice Fax:

1861982928 — ELIZABETH TISDALE CPM, LM
Practice Location Address:

1009 CHESTNUT ST
BASTROP, TX
78602-3303

Practice Phone: 512-710-9662
Practice Fax: 915-232-9611

1194050542 — MRS. MARIE L SANTOS C.D.
Practice Location Address:

611 GLORIA AVE
SANGER, CA
93657-3565

Practice Phone: 619-254-9716
Practice Fax:

1780255257 — KERRI LEA BAILEY
Practice Location Address:

321 N CHARMWOOD LOOP
OTIS, OR
97368-9716

Practice Phone: 541-961-8327
Practice Fax:

Directions to “ JESSICA WISSE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.