Jack Larry Wisdom CSA

  • NPI 1376968750
According to our database, the NPI number for Jack Larry Wisdom CSA is 1376968750 and activated since 10 years ago. Jack Larry Wisdom CSA is an individual provider who specializes in Registered Nurse, and the primary practice location is 5974 Pentz Rd, Paradise, CA 95969. You can also contact Jack Larry Wisdom CSA via telephone number is (530) 876-7903. Provider NPI information was last updated on 02/21/2014.

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Overview of Jack Larry Wisdom CSA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/21/2014
  • Last updated: 02/21/2014

Primary Scrop of Practice

  • Taxonomy Code: 163W00000X
  • Specialty: Registered Nurse
  • License Number: 96534
  • License State: TN

Provider Mailing Address

  • Address: 261 Tranquil Dr
    Paradise, CA 95969
  • Phone: 530-876-8533
  • Fax:

Provider Practice Location

  • Address: 5974 Pentz Rd
    Paradise, CA 95969
  • Phone: 530-876-7903
  • Fax:

Scope of Practice

  • Taxonomy Code: 163W00000X
  • Specialty: Registered Nurse
  • License Number: 96534
  • License State: TN
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack Larry Wisdom CSA?
  • A: The npi number for Jack Larry Wisdom CSA is 1376968750.
  • Q: What are Jack Larry Wisdom CSA's specialties?
  • A: Jack Larry Wisdom CSA's specialties are Registered Nurse and different specialities.
  • Q: What is the medical license for Jack Larry Wisdom CSA?
  • A: The medical license number for Jack Larry Wisdom CSA is 96534 and issued in TN in USA.
  • Q: Where is Jack Larry Wisdom CSA practice location?
  • A: Jack Larry Wisdom CSA is practicing at 5974 Pentz Rd, Paradise, CA 95969.
  • Q: How to contact Jack Larry Wisdom CSA?
  • A: You can contact Jack Larry Wisdom CSA via 530-876-7903.
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