Malisa Marie Wetmore, PA-C
Physician Assistant in Jacksonville, FL. Individual provider (NPI-1).
NPI number1528029626
StatusActive
Last updated in NPPESMay 19, 2025
Details
- NPI
- 1528029626
- Entity type
- Individual (NPI-1)
- Name
- Ms. Malisa Marie Wetmore
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2006
- Certification date
- May 19, 2025
- Last updated
- May 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA3665 | FL | Yes |
Practice location
1301 Palm Ave Ste 600Jacksonville, FL 32207-8432
Phone 904-202-7300 · Fax 904-202-2754
Mailing address
Po Box 746654Atlanta, GA 30374-6654
Phone 904-202-2092 · Fax 904-376-4075
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Jacksonville, FL
- Sara Abbas, PA-CNPI 1356121206
- Whitney AbelNPI 1104694173
- Sara M Aboud, PA-CNPI 1760293021
- Victoria AbreuNPI 1619807864
- Abundant Life Healthcare, PLLCNPI 1477484764
- Shannon M. Adams, PA-CNPI 1518233378
- Wade Cutchins Adams, PANPI 1154101236
- Tatiana Graham Ade, PA-CNPI 1629531306
- Megan Afshari, PA-CNPI 1710412713
- McKenzie Nicole Agate, PA-CNPI 1275448151
All 895 Physician Assistant providers in Jacksonville · All 31,644 providers in Jacksonville
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.