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

Julie Lynn Wisham, PA

Individual provider Physician Assistant · NPI 1083397897

Julie Lynn Wisham, PA is a Physician Assistant in Jacksonville, Florida. Qualified in 2023, 3 years ago. Works from 2 locations and offers telehealth. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7807 Baymeadows Rd E Ste 303
Jacksonville, FL 32256-9667
Phone: (904) 204-6585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11175 Parkside Preserve Way, Jacksonville, FL 32257-1562 — (952) 913-7237

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1083397897 (FL)

Record details

NPI number1083397897
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 9, 2023
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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