Jerry Paul Wisdom, CRNP is a family nurse practitioner in Dothan, AL with 3 years of experience. Jerry Paul Wisdom, CRNP NPI is 1912570607. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301-770
Phone: (334) 305-0400
The NPI 1912570607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/20/2021 and was last updated on 7/20/2021.