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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jack Larry Wisdom, CSA

Registered Nurse in Paradise, CA · enumerated 2014.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376968750

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Registry record

Entity type Individual (Type 1)
Name Jack Larry Wisdom
Credential CSA
Sex Male
Practice address Paradise, CA, 95969
Enumeration date Feb 21, 2014
Last updated in NPPES Feb 21, 2014

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License 718316 (CA) Primary
163W00000X Registered Nurse Nursing Service Providers · License 96534 (TN) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jack Wisdom?
The National Provider Identifier (NPI) for Jack Wisdom is 1376968750, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jack Wisdom practice?
The practice location on file with NPPES is in Paradise, CA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-21.