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

Mrs. Bonnie Susette Wisdom, FNP-C

Individual provider Family Nurse Practitioner · NPI 1760681910

Mrs. Bonnie Susette Wisdom, FNP-C is a Family Nurse Practitioner in Charles Town, West Virginia. Licensed in Virginia and West Virginia. Registered with an NPI since 2007.

Licensed in
VA, WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

11065 Middleway Pike
Charles Town, WV 25414-4366
Phone: (304) 724-6091
Fax: (304) 725-7204
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 62175 (WV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024166327 (VA)

Record details

NPI number1760681910
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 17, 2007
Last updated in NPPESJuly 17, 2007

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