TERESITA C WISDOM A.N.R.P.
NPI 1275786451
Nurse Practitioner in Louisville, KY

Q: What is Teresita Wisdom's NPI number?

The NPI number for Teresita Wisdom is 1275786451. It was assigned to this individual provider in the NPPES registry on October 31, 2008.

Q: What is Teresita Wisdom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Teresita Wisdom was last updated on July 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 31, 2008

9700 STONESTREET RD, LOUISVILLE, KY 40272(502) 995-2450(502) 995-2464 Get Directions Write a Review

NPPES record last updated: July 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Teresita C Wisdom A.n.r.p. NPPES

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

TERESITA C WISDOM A.N.R.P. (NPI 1275786451) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (46780) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1275786451

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTERESITA C WISDOMCredential: A.N.R.P.

Location Address9700 STONESTREET RDLouisville, KY 40272-2884

Mailing Address5454 New Cut Rd, Suite 5Louisville, KY 40214-4271 · (502) 995-2450 · Fax (502) 995-2464

Phone(502) 995-2450

Fax(502) 995-2464

Sole ProprietorNo

Enumeration DateOctober 31, 2008

Last NPPES UpdateJuly 25, 2012

✔ NPI 1275786451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 46780

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9700 STONESTREET RD, Louisville, KY 40272

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Other Providers at the Same Location NPPES 20

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

TRILOGY HEALTHCARE OF LOUISVILLE SOUTHWEST, LLC

Skilled Nursing Facility