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JALEN WISE
NPI 1770364598
Student in an Organized Health Care Education/Training Program in Desoto, TX

Active since October 09, 2023
901 RIO VISTA DR, DESOTO, TX 75115(214) 949-0483 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jalen Wise NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JALEN WISE (NPI 1770364598) is an individual student in an organized health care education/training program in Desoto, Texas and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1770364598
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJALEN WISE
Location Address901 RIO VISTA DRDesoto, TX 75115-7214
Mailing Address901 Rio Vista DrDesoto, TX 75115-7214 · (214) 949-0483
Phone(214) 949-0483
Sole ProprietorYes
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
✔ NPI 1770364598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
901 RIO VISTA DR, Desoto, TX 75115
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jalen Wise's NPI number?

The NPI number for Jalen Wise is 1770364598. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Jalen Wise located?

Jalen Wise practices at 901 Rio Vista Dr, Desoto, TX 75115. The listed phone number is (214) 949-0483.

What is Jalen Wise's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jalen Wise was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.