Individual
ALISHA YVON WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4475 SAN JUAN AVE # 1114, JACKSONVILLE, FL 32210-3357
(904) 389-0314
Mailing address
11544 PLEASANT CREEK DR, JACKSONVILLE, FL 32218-7562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11009959
FL
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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