Jackelyn Marie Wiser, APRN- FNP-BC is a
Nurse Practitioner - Family based in Goodfellow Afb, Texas. Jackelyn Marie Wiser is licensed to practice in Texas (license number 1103582) and her current practice location is
271 Ft Richardson Ave, Goodfellow Afb, Texas. She can be reached at her office (for appointments etc.) via phone at
(325) 654-5391.
NPI number for Jackelyn Marie Wiser is 1669170908 and her current mailing address is 271 Ft Richardson Ave, Goodfellow Afb, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669170908.
Provider's Profile
Full Name | Jackelyn Marie Wiser |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 271 Ft Richardson Ave, Goodfellow Afb, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669170908
- Provider Enumeration Date: 02/16/2023
- Last Update Date: 06/28/2023
Medical Identifiers
Medical identifiers for Jackelyn Marie Wiser such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669170908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1103582 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackelyn Marie Wiser is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jackelyn Marie Wiser, APRN- FNP-BC 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 Ph: (325) 654-5391 | Jackelyn Marie Wiser, APRN- FNP-BC 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 Ph: (325) 654-5391 |
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