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COURTNEY WISEMAN PA
NPI 1144769332
Physician Assistant in Jamestown, CA

Active since February 21, 2017
18144 SECO ST, JAMESTOWN, CA 95327(209) 984-4820(209) 984-4825 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2023, Apr 29, 2021, Oct 24, 2019 and 1 more (4 updates tracked since 2017).

About Courtney Wiseman Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY WISEMAN PA (NPI 1144769332) is an individual physician assistant in Jamestown, California, licensed in California (57620) and active in the NPI registry since February 2017. He maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1144769332
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY WISEMANCredential: PA
Location Address18144 SECO STJamestown, CA 95327-9498
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1246 · Fax (704) 384-6072
Phone(209) 984-4820
Fax(209) 984-4825
Sole ProprietorNo
Enumeration DateFebruary 21, 2017
Last NPPES UpdateDecember 12, 20234 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1144769332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · 57620✔ Licensed in NC · 0010-07098
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
18144 SECO ST, Jamestown, CA 95327
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Secondary Practice Location 1

Location 11900 Randolph Rd, Suite 800Charlotte, NC 28207-1122 · Phone (704) 384-1246 · Fax (704) 384-6072

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANTELL WEIR FNP
Nurse Practitioner (Family)
18144 SECO ST
JAMESTOWN, CA 95327
Tuolumne County (209) 984-4820
DR. HAKU KEVIN KAHOANO M.D.
General Practice
18144 SECO ST, MATHIESEN MEMORIAL HEALTH CLINIC
JAMESTOWN, CA 95327
Tuolumne County (209) 984-4824
MS. DAYNA DECRISTOFERI LMFT
Marriage & Family Therapist
18144 SECO ST
JAMESTOWN, CA 95327
Tuolumne County (209) 984-4820
MATHIESEN MEMORIAL HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
18144 SECO ST
JAMESTOWN, CA 95327
Tuolumne County (209) 984-4820
GINA M VALENTE-MOORE FNP
Nurse Practitioner (Family)
18144 SECO ST
JAMESTOWN, CA 95327
Tuolumne County (209) 984-4820
MATHIESEN MEMORIAL HEALTH CENTER
Clinic/Center (Primary Care)
18144 SECO ST
JAMESTOWN, CA 95327
Tuolumne County (209) 984-4820
HANNAH GARRETT RDH
Dental Hygienist
18144 SECO ST
JAMESTOWN, CA 95327
Tuolumne County (209) 984-4820
THERESA LYNN SALES FNP
Nurse Practitioner
18144 SECO ST
JAMESTOWN, CA 95327
Tuolumne County (209) 984-4820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Wiseman's NPI number?

The NPI number for Courtney Wiseman is 1144769332. It was assigned to this individual provider in the NPPES registry on February 21, 2017.

Where is Courtney Wiseman located?

Courtney Wiseman practices at 18144 Seco St, Jamestown, CA 95327. The listed phone number is (209) 984-4820.

What is Courtney Wiseman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Courtney Wiseman was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.