Jessica Wise, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

277809 Issued in NY

Practice address

38 Downey Dr
Oswego, NY 13126-6193

Phone

(315) 806-2184

NPI assigned

Jun 25, 2013

Last updated

Jun 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Marie McDermott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1770923500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 DOWNEY DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266193",
            "telephone_number": "315-806-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 DOWNEY DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266193",
            "telephone_number": "315-806-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JESSICA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "277809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MCDERMOTT",
            "middle_name": "MARIE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsay R Willson, TSLD
• Mara Wilson, LPN
• Brenda M Winchell, PTA
• Stacey Rebecca Winheld, LMHC
• Laurie Ann Winslow
• Katrina J Wojciechowski, PA-C
• Brandon T Wolfenden, PA-C
• Mary Woodburn
• Kathryn Emily Woodrick
• Kelly Lewis Woolson, LPN

• Licensed Practical Nurse in Oswego, NY
• Providers in Oswego, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.