| Jack Larry Wisdom, CSA | |
|
5974 Pentz Rd, Paradise, CA 95969-5509 | |
| (530) 876-7903 | |
| Not Available |
| Full Name | Jack Larry Wisdom |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 5974 Pentz Rd, Paradise, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376968750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 718316 (California) | Primary |
| 163W00000X | Registered Nurse | 96534 (Tennessee) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Larry Wisdom, CSA 261 Tranquil Dr, Paradise, CA 95969-3707 Ph: (530) 876-8533 | Jack Larry Wisdom, CSA 5974 Pentz Rd, Paradise, CA 95969-5509 Ph: (530) 876-7903 |
Leslie Allison Bass, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1309 Nunneley Road, Paradise, CA 95969 Phone: 530-877-2550 | |
Ms. Insu Hyams, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7200 Skyway, Paradise, CA 95969 Phone: 530-877-1965 Fax: 530-872-7784 | |
Mrs. Mary Ann Patrice Neal, R.N., P.H.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6231 Lancaster Dr, Paradise, CA 95969 Phone: 530-877-0283 | |
Mrs. Penelope Rose Finn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5910 Clark Road, Suite H & I, Paradise, CA 95969 Phone: 530-872-6325 Fax: 530-872-5970 | |
Nancy R Allen, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6474 Simon Way, Paradise, CA 95969 Phone: 530-899-2255 | |
Barbara Jean Dooney, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7200 Skyway, Paradise, CA 95969 Phone: 530-877-1965 Fax: 530-872-4896 | |
Rebekah Damazo, RN, MSN, CPNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6888 Dean Pl, Paradise, CA 95969 Phone: 530-591-5812 |