Individual provider · Type 1 NPI

Julie Lynn Wisham, PA

Physician Assistant · Jacksonville, FL

NPI number 1083397897 Active

Practice location

7807 Baymeadows Rd E Ste 303
Jacksonville, FL 32256-9667

Call (904) 204-6585 Map

Mailing address

11175 Parkside Preserve Way
Jacksonville, FL 32257-1562

Other practice locations

  • 11175 Parkside Preserve Way, Jacksonville, FL 32257-1562 · (952) 913-7237

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1083397897 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

4 other providers at this address

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About NPI 1083397897

Julie Lynn Wisham, PA's National Provider Identifier is 1083397897, issued on Aug 9, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 13, 2026.