Search › Oklahoma › 175T00000X
Jesse Wise
NPI 1891647087 · on the registry since 2026 · sole proprietor
Practice
- Address
- 4004 Nw 11th St
Oklahoma City, OK 73107 - Phone
- (405) 968-2516
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma