Individual provider · Type 1 NPI

Elizabeth Ann Marie Wise, PA-C

Physician Assistant · Fayetteville, NC

NPI number 1104419472 Active

Practice location

556 Sandhurst Dr
Fayetteville, NC 28304-4426

Call (910) 483-2646 Map

Mailing address

9225 Main St
Godwin, NC 28344-8361

Other practice locations

  • 7118 Main St, Wade, NC 28395-9749 · (910) 483-6694
  • 1095 N Bragg Blvd Ste 104, Spring Lake, NC 28390-3307 · (910) 615-6949

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001011052 (NC)

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…

9 other providers at this address

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About NPI 1104419472

Elizabeth Ann Marie Wise, PA-C's National Provider Identifier is 1104419472, issued on Feb 17, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, NC. The record was last updated on May 5, 2026.