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

Nicole Brockway Wise

Individual provider Developmental Therapist · NPI 1679754535

Nicole Brockway Wise is a Developmental Therapist in Jacksonville, Florida. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

910 N Jefferson St
Jacksonville, FL 32209-6810
Phone: (904) 360-7022
Fax: (904) 798-4544
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1679754535
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2007
Last updated in NPPESNovember 20, 2007

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