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

Kristine Wisdom, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1962961136

Kristine Wisdom, RN is a Psychiatric/Mental Health Registered Nurse in Provo, Utah. Licensed in Utah. Registered with an NPI since 2019.

Licensed in
UT
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 2654843102 (UT)

Record details

NPI number1962961136
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESMarch 18, 2019
Mailing address750 N Freedom Blvd, Provo, UT 84601-1677

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