Individual
DR. JENNIFER L WYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
433 N CLEVELAND AVE, WESTERVILLE, OH 43082-8095
(614) 355-8300
Mailing address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-2000
(614) 722-4380
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35079479
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35079479
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2750358
—
OH
Enumeration date
07/03/2006
Last updated
04/14/2026
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