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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY PAUL WISDOM III, CRNP

Active

JERRY PAUL WISDOM III, CRNP is a Family Nurse Practitioner healthcare provider located in DOTHAN, Alabama. NPI 1912570607 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · DOTHAN, AL

Registration Details

NPI Number
1912570607
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2021 (5.0693705643688 yrs)
Last Updated
Jul 20, 2021
License
1-152894 (AL)

Practice Information

Address
1450 ROSS CLARK CIR STE 400
DOTHAN, AL, 363014770
Browse AL providers · Browse ZIP 36301
Phone
3343050400
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in DOTHAN, AL

Name Credential NPI
JUDITH L JOHNSON CRNP 1679576268
MS. CECILIA RENEE ROBINSON CRNP 1487600607
TRINETTE STANFORD CRNP 1083646210
MS. CYNTHIA MILSTEAD NP 1033240601
MRS. BRENDA F COVINGTON CRNP 1205043973
MRS. REBECCA SUE BREM FNP, MSN 1487844940
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.