Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elizabeth Ann Marie Wise, PA-C

Individual provider Physician Assistant · NPI 1104419472

Elizabeth Ann Marie Wise, PA-C is a Physician Assistant in Fayetteville, North Carolina. Works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

556 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone: (910) 483-2646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1095 N Bragg Blvd Ste 104, Spring Lake, NC 28390-3307 — (910) 615-6949
  • 7118 Main St, Wade, NC 28395-9749 — (910) 483-6694

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001011052 (NC)

Record details

NPI number1104419472
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2021
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

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