Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Danielle Keala Wise, DNP, CNM, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1912413428

Jessica Danielle Keala Wise, DNP, CNM, PMHNP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2017, 9 years ago. Practices with Pediatric and Family Behavioral Health PLLC, an 8-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

4412 Park Rd Ste B
Charlotte, NC 28209-3130
Phone: (617) 379-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Billingsley Rd, Charlotte, NC 28211-1009 — (704) 358-2800

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5020240 (NC)
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1912413428
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , CNM , PMHNP
Sole proprietorNo
NPI enumeratedDecember 19, 2017
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pediatric And Family Behavioral Health Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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