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

Jessica Wise, MD

Individual provider Trauma Surgery Physician · NPI 1336594050

Jessica Wise, MD is a General Surgery in Fort Walton Beach, Florida. Qualified in 2016, 10 years ago. Practices with Florida Trauma Services LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

320 Racetrack Rd NW Ste 100B
Fort Walton Beach, FL 32547-1796
Phone: (850) 374-9610
Fax: (850) 374-9611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 158015 (FL)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 158015 (FL)
Surgery Physician Taxonomy 208600000X · Licence 158015 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336594050
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2016
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address320 Racetrack Rd Nw Ste 100b, Fort Walton Beach, FL 32547-1796

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Florida Trauma Services Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Walton Beach