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Licensee Information

Jaclyn Marie Wise - PA-C
0010-11679
Active
No
09/29/2021
08/30/2026

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 5/10/2026 4:15:41 PM
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