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Individual

DR. JESSICA M. WISHNEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1414 59TH STREET WEST, BRADENTON, FL 34209
(941) 761-0663
(941) 761-3347
Mailing address
1414 59TH STREET WEST, BRADENTON, FL 34209
(941) 761-0663
(941) 761-3347

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME120263
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012335100
FL
Enumeration date
07/03/2008
Last updated
11/28/2025
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