Jack Larry Wisdom, CSA
Jack Larry Wisdom, CSA is a Registered Nurse in Paradise, California. Practices as a sole proprietor. Licensed in California and Tennessee.
- Licensed in
- CA, TN
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
5974 Pentz RdParadise, CA 95969-5509
Phone: (530) 876-7903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 718316 (CA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 96534 (TN) |
Record details
| NPI number | 1376968750 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSA |
| Sole proprietor | Yes |
| NPI enumerated | February 21, 2014 |
| Last updated in NPPES | February 21, 2014 |
Other providers in Paradise
-
Mrs. Stacey Kizziar, RN
5667 Middle Libby Rd, Paradise, CA 95969-5324 · (530) 872-8717
-
Mrs. Mary Ann Patrice Neal, RN, PHN
6231 Lancaster Dr, Paradise, CA 95969-3531 · (530) 877-0283
-
Mrs. Kathy Lea Sereda, BSNRN
7200 Skwy, Paradise, CA 95969 · (530) 877-1965
-
Cynthia Eileen Sims
6356 Tabernacle Ln, Paradise, CA 95969-3437 · (760) 985-1408