# JESSICA DANIELLE KEALA WISE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912413428
- **Gender:** F
- **Credential:** DNP, CNM, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5020240 | NC | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 12/19/2017
- **Last updated:** 02/10/2026