| Jessica Wiseman, | |
|
7 Municipal Way, Edgewood, NM 87015 | |
| (505) 281-3406 | |
| Not Available |
| Full Name | Jessica Wiseman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 7 Municipal Way, Edgewood, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851077614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Wiseman, Po Box 2033, Edgewood, NM 87015-2033 Ph: (505) 414-0251 | Jessica Wiseman, 7 Municipal Way, Edgewood, NM 87015 Ph: (505) 281-3406 |
Ryan Grange, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 Phone: 505-286-2396 Fax: 505-286-2398 | |
Brian R Ingram, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1851 Old Hwy 66, Edgewood, NM 87015 Phone: 505-286-2396 Fax: 505-286-2398 | |
Lisa Rachelle Torres, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8 Medical Center Rd, Edgewood, NM 87015 Phone: 505-281-3406 | |
Joshua Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1851 Old Us 66, Edgewood, NM 87015 Phone: 505-286-2396 |