Individual
WILLIAM JARRETT WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN, CCRN-CMC
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 993-1088
Mailing address
2652 EDENS FORK RD, CHARLESTON, WV 25312-7362
(304) 993-1088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
115216
WV
Other
Enumeration date
06/20/2026
Last updated
06/20/2026
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