Individual
JENA LOIS WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-6468
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
4295
MA
363A00000X
Physician Assistant
Primary
PA9233
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110196252A
—
MA
Enumeration date
06/28/2017
Last updated
08/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us