Wiseman, Jacqueline Dawn

Wiseman, Jacqueline Dawn is an individual health care provider with primary practice located at 7600 Carroll Ave , Takoma Park MD 20912-6367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wiseman, Jacqueline Dawn can be contacted via phone (301) 891-7600.

Contact Information

Primary practice address
7600 Carroll Ave Takoma Park MD 20912-6367
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 098816 Maryland

Profile Details

NPI number 1457494767
LBN Legal business name Wiseman, Jacqueline Dawn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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