Courtney Wiseman, PA Valid NPI

Individual provider · Physician Assistant · Jamestown, CA

NPI

1144769332

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

57620 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2017-02-21

Last updated

2023-12-12