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Jerry Paul Wisdom III, CRNP
Family Nurse Practitioner in Dothan, Alabama
NPI 1912570607

Jerry Paul Wisdom III is a Family Nurse Practitioner based in Dothan, AL and is specialized in Family. Jerry Paul Wisdom III practices in Dothan, AL and has the professional credentials of CRNP. The NPI Number for Jerry Paul Wisdom III is 1912570607 and holds a License No. 1-152894 (Alabama).

The current practice location address for Jerry Paul Wisdom III is 1450 Ross Clark Cir Ste 400, Dothan, AL and can be reached out via phone at 334-305-0400.

Location: 1450 Ross Clark Cir Ste 400, Dothan, AL, 36301-4770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912570607
Provider Name
Jerry Paul Wisdom III
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
1450 Ross Clark Cir Ste 400, Dothan, AL, 36301-4770
Phone Number
334-305-0400
Fax Number
Provider Enumeration Date
07/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1450 Ross Clark Cir Ste 400
City
Dothan
State
Alabama
Zip
36301-4770
Phone Number
334-305-0400
Fax Number
person
Provider Business Mailing Address Details
Address
1450 Ross Clark Cir Ste 400
City
Dothan
State
Alabama
Zip
36301-4770
Phone Number
334-305-0400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1-152894 (Alabama)
Definition
Definition to come...
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