Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Wiseman, PA

Individual provider Physician Assistant · NPI 1144769332

Courtney Wiseman, PA is a Physician Assistant in Jamestown, California. Works from 2 locations. Licensed in California and North Carolina.

Licensed in
CA, NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

18144 Seco St
Jamestown, CA 95327-9498
Phone: (209) 984-4820
Fax: (209) 984-4825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 Randolph Rd, Charlotte, NC 28207-1122 — (704) 384-1246

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 57620 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-07098 (NC)

Record details

NPI number1144769332
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 21, 2017
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

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