MEDICARE: JAKIERA WISE

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1780517532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAKIERA WISE

Provider Business Mailing Address
First Line	:	7108 S KANNER HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12641 OCEAN GTWY STE 96-1006
Second Line	:
City	:	OCEAN CITY
State	:	MD
Zip	:	21842-9558
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

Similar Medicare Providers

1770440125 — RACHEL LAUREN TYSON
Practice Location Address:

12641 OCEAN GTWY STE 96-1006
OCEAN CITY, MD
21842-9558

Practice Phone: 855-832-6727
Practice Fax:

1124221999 — PAIN FREE ANESTHESIA PC
Practice Location Address:

5701 NE 107TH ST
OKLAHOMA CITY, OK
73151-9558

Practice Phone: 405-769-7080
Practice Fax:

1245617117 — TANISHA CURTIS
Practice Location Address:

3017 CRYSTAL LAKE DR
ELIZABETH CITY, NC
27909-9558

Practice Phone: 757-580-2666
Practice Fax:

1467802124 — MRS. JESSICA RAE THOMAS ARNP, PMHNP-BC
Practice Location Address:

2545 N DODGE ST STE C
IOWA CITY, IA
52245-9558

Practice Phone: 319-249-0307
Practice Fax: 319-358-2367

1376037390 — TIFFANY SUE THURMAN
Practice Location Address:

2545 N DODGE ST STE A
IOWA CITY, IA
52245-9558

Practice Phone: 319-379-0032
Practice Fax:

1144995168 — KRISTEN MAHANNAH LISW
Practice Location Address:

2545 N DODGE ST STE C
IOWA CITY, IA
52245-9558

Practice Phone: 319-249-0307
Practice Fax: 319-358-2367

Directions to “ JAKIERA WISE ” 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.