Individual provider · Type 1 NPI
Ross Davin Wise, APRN
Psychiatric/Mental Health Nurse Practitioner · Fernandina Beach, FL
NPI number
1194697284
Active
Practice location
1896 S 14th St Ste 6
Fernandina Beach, FL 32034-4416
Fax (904) 467-3143
Mailing address
523 Blue Daze St
Yulee, FL 32097-0087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11042360 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1194697284
Ross Davin Wise, APRN's National Provider Identifier is 1194697284, issued on Sep 19, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fernandina Beach, FL. The record was last updated on Sep 19, 2025.