Individual
JESSICA DANIELLE KEALA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM, PMHNP
Contact information
Practice address
4412 PARK RD STE B, CHARLOTTE, NC 28209-3130
(617) 379-0496
Mailing address
4412 PARK RD, CHARLOTTE, NC 28209-3130
(617) 379-0496
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5020240
NC
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
12/19/2017
Last updated
02/10/2026
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