Individual provider · Type 1 NPI

Johnathan Lloyd Wise, MD

Obstetrics & Gynecology Physician · Thibodaux, LA

NPI number 1992125355 Active

Practice location

406 N Acadia Rd
Thibodaux, LA 70301-4856

Fax (985) 446-2189

Mailing address

506 N Acadia Rd
Thibodaux, LA 70301-4862

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XMD.308148 (LA)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2 other providers at this address

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About NPI 1992125355

Johnathan Lloyd Wise, MD's National Provider Identifier is 1992125355, issued on Apr 23, 2014. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Thibodaux, LA. The record was last updated on Apr 6, 2026.