Individual provider · Type 1 NPI

Jazmin Wise

Adult Medicine Physician · Oakland, CA

NPI number 1558190751 Active

Practice location

275 W Macarthur Blvd
Oakland, CA 94611-5641

Mailing address

484 Lake Park Ave # 115
Oakland, CA 94610-2730

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X95020648 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1558190751

Jazmin Wise's National Provider Identifier is 1558190751, issued on Jul 29, 2024. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Oakland, CA. The record was last updated on Jul 29, 2024.