DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA DANIELLE KEALA WISE DNP, CNM, PMHNP

MEDICARE: JESSICA DANIELLE KEALA WISE DNP, CNM, PMHNP
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
1367A00000XAdvanced Practice Midwife
2363LP0808XPsychiatric/Mental Health Nurse Practitioner5020240NC

General Provider Information

NPI Number : 1912413428
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA DANIELLE KEALA WISE DNP, CNM, PMHNP
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 704-316-2021
Fax Number : 704-316-2025
Provider Business Practice Location Address
First Line : 1111 CIRCLE DR
Second Line :
City : MONROE
State : NC
Zip : 28112-5834
Country : US
Telephone Number : 704-764-1818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2017
Last Update Date : 05/20/2025

Similar Medicare Providers

1023099710 — CIRCLE MEDICAL ASSOCIATES PA
Practice Location Address:
1111 CIRCLE DR
MONROE, NC
28112-5834
Practice Phone: 704-289-8537
Practice Fax: 704-283-4602
1700385507 — PEDIATRIC AND FAMILY BEHAVIORAL HEALTH, PLLC
Practice Location Address:
1111 CIRCLE DR
MONROE, NC
28112-5834
Practice Phone: 704-764-1818
Practice Fax: 704-285-2222
1144876186 — MORGAN DURAND JOHNSON PA-C
Practice Location Address:
1111 CIRCLE DR
MONROE, NC
28112-5834
Practice Phone: 704-764-1818
Practice Fax:
1497338255 — NOEMI PERKINS CMHC
Practice Location Address:
1111 CIRCLE DR
MONROE, NC
28112-5834
Practice Phone: 704-764-1818
Practice Fax:
1043017320 — MRS. CECILIA ANNA MARIA MYERS MSN, APRN, PMHNP-BC
Practice Location Address:
1111 CIRCLE DR
MONROE, NC
28112-5834
Practice Phone: 704-764-1818
Practice Fax: 704-285-2222
1639961261 — DANA MARIE GURLEY RN
Practice Location Address:
1111 CIRCLE DR
MONROE, NC
28112-5834
Practice Phone: 704-764-1818
Practice Fax:

Directions to “ JESSICA DANIELLE KEALA WISE DNP, CNM, PMHNP” 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 © 2007-2025 (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.