Individual
JAEDEN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 W PARKER RD, PLANO, TX 75093-8185
(972) 981-8000
Mailing address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(210) 622-8235
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
947153
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
157045
TX
Other
Enumeration date
12/15/2022
Last updated
12/26/2025
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