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Provider Profile

Jack L. Wisdom, CSA

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At a glance

About Jack Wisdom

Listed in the NPI registry as a registered nurse, Jack L. Wisdom, CSA practices in Paradise, CA. NPI 1376968750 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Registered Nurse (Primary)

Credentials & Licensing

KY · Registered NurseBoard of Registered Nursing
No. 718316DelinquentExpired Feb 29, 2024Since 2008
TN licenceAs reported to the NPI registry
No. 96534As reported
NPINational Provider Identifier
1376968750Issued 2014

Snapshot · verify with the board ↗

Common questions

What does Jack L. Wisdom specialize in?

Jack L. Wisdom is a registered nurse in Paradise, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jack L. Wisdom located?

Jack L. Wisdom is listed at 5974 Pentz Rd, Paradise, CA 95969. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jack L. Wisdom's phone number?

The number on file is (530) 876-7903. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jack L. Wisdom's NPI number?

Jack L. Wisdom's National Provider Identifier is 1376968750. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Jack L. Wisdom been practicing?

Jack L. Wisdom has 12+ years experience. Registered with an NPI since 2014. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Jack L. Wisdom confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jack L. Wisdom. If this is you, claiming it is free.

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