Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Wise, PA-C

Individual provider Physician Assistant · NPI 1972806339

Jaclyn Wise, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 2010, 16 years ago. Practices with Jonathan M Frantz, MD PA, a 25-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and North Carolina.

Years since qualifying
16
Licensed in
FL, NC
In the registry since
2010
Specialties on file
2
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

9617 Gulf Research Ln
Fort Myers, FL 33912-4560
Phone: (239) 418-0999
Fax: (239) 418-0091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2601 Iron Gate Dr, Wilmington, NC 28412-6625 — (910) 323-1545

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120414 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 0010-11679 (NC)

Record details

NPI number1972806339
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 7, 2010
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Jonathan M Frantz, Md Pa — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Fort Myers