Jessica Ann Wise, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

967307 Issued in TX

Practice address

1300 N Virginia St Ste 101
Port Lavaca, TX 77979-2512

Phone

(361) 553-5580

NPI assigned

Sep 21, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1518879881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 REBECCA LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VIRGINIA ST STE 101",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792512",
            "telephone_number": "361-553-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "967307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-1098)
• Walgreen Co (Walgreens #12494)
• Edith Willett
• George A William, M.D.
• Mary Alice Wilson, OTR
• John B Wright, MD
• Haley Yarbrough, CRNA
• Phillip Yoo, PHARM. D
• Carmen Christina Zapata-Arroyo, MS, CCC-SLP
• Zoom Rehabilitation,Inc (Zoom Physical Therapy and Wellness)

• Registered Nurse in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.