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

Lisa Nicole Wackerman, RN

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1457961815

Lisa Nicole Wackerman, RN is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Mariposa, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

6986 Scott Rd
Mariposa, CA 95338-9639
Phone: (209) 966-7095
Show map & directions

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

Specialties & licences

Child & Adolescent Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0807X · Licence RN95201290 (CA)

Record details

NPI number1457961815
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020
Mailing addressPo Box 2308, Mariposa, CA 95338-2308