Individual
JOHN A. WISE
Active
Individual
JOHN A. WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1395
TN
363AS0400X
Surgical Physician Assistant
Primary
1072420
AR
363AS0400X
Surgical Physician Assistant
Primary
1395
TN
363AS0400X
Surgical Physician Assistant
Primary
PA-1232
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
10/11/2006
Last updated
02/26/2026
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