Individual
JESSICA L WISOCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 MERRIMACK ST, LAWRENCE, MA 01843-1981
(978) 557-8900
(978) 557-8859
Mailing address
97 CENTRAL ST STE 303, LOWELL, MA 01852-1931
(978) 487-6783
(978) 226-4532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2276918
MA
363LF0000X
Family Nurse Practitioner
076676-23
NH
363LF0000X
Family Nurse Practitioner
RN2276918
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100980411A
—
MA
05
—
3111245
—
NH
Enumeration date
08/09/2013
Last updated
12/19/2023
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