Julie L. Wisham PA
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Julie Lynn Wisham PA
NPI Number
1083397897
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/09/2023
Specialties
(Taxonomies)Licenses
State
Florida
License Number
1083397897
Contact
Information
Purpose
Mailing
Location
Address
11175 PARKSIDE PRESERVE WAY
3003 CLAIRE LN
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32257-1562
32223-6665
Country
US
US
Telephone Number
(952) 913-7237
(407) 499-0515
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/26/2023