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

Jesse Wise

Individual provider Peer Specialist · NPI 1891647087

Jesse Wise is a Peer Specialist in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2026

Practice location Address checks out

4004 NW 11th St
Oklahoma City, OK 73107-5108
Phone: (405) 968-2516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OK)

Record details

NPI number1891647087
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2026
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

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