Individual provider · Type 1 NPI

Jessica Wise, MD

Surgical Critical Care Physician · Fort Walton Beach, FL

NPI number 1336594050 Active

Practice location

320 Racetrack Rd NW Ste 100B
Fort Walton Beach, FL 32547-1796

Fax (850) 374-9611

Specialties and licenses

TaxonomyCodeLicense
Trauma Surgery Physician 2086S0127X158015 (FL)
Surgery Physician 208600000X158015 (FL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Critical Care Physician Primary 2086S0102X158015 (FL)

Surgical Critical Care Physician: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care…

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About NPI 1336594050

Jessica Wise, MD's National Provider Identifier is 1336594050, issued on May 1, 2016. The primary taxonomy on file is Surgical Critical Care Physician (2086S0102X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jul 26, 2022.