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

Mrs. Jessica Nicole Wisdom, CRNP

Individual provider Family Nurse Practitioner · NPI 1811628639

Mrs. Jessica Nicole Wisdom, CRNP is a Nurse Practitioner in Dothan, Alabama. Qualified in 2022, 4 years ago. Practices with Southern Clinic PC, a 25-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Licensed in
AL
In the registry since
2022
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

201 Doctors Dr
Dothan, AL 36301-2949
Phone: (334) 794-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 169890 (AL)

Record details

NPI number1811628639
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southern Clinic Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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