It seems JavaScript is either disabled or not supported by your browser. JavaScript must be enabled in order for you to receive the best user experience.
Licensee Information
Jaclyn Marie Wise - PA-C
0010-11679
Active
No
09/29/2021
08/30/2025

Active Supervisor

NameTypeStatusApprovedInactive
Frohock, Jeffrey Innes, Jr., MD MD Active 03/15/2022
Matlack, Robert Kepler, Jr., MD MD Active 01/24/2022

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Florida

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 7/3/2025 6:51:14 AM

Loading