Wisocky, Jessica L

Wisocky, Jessica L is an individual health care provider with primary practice located at 500 Merrimack St , Lawrence MA 01843-1981. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wisocky, Jessica L can be contacted via phone (978) 557-8900.

Contact Information

Primary practice address
500 Merrimack St Lawrence MA 01843-1981
Phone: (978) 557-8900
Fax: (978) 557-8859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 076676-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2276918 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2276918 Massachusetts

Profile Details

NPI number 1689007924
LBN Legal business name Wisocky, Jessica L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2013
Last updated Dec 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689007924 NPPES
Massachusetts MEDICAID 1100980411A
Massachusetts MEDICAID 3111245

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