Individual provider · Type 1 NPI

Jaeden Wiseman

Certified Registered Nurse Anesthetist · Plano, TX

NPI number 1780396242 Active

Practice location

6200 W Parker Rd
Plano, TX 75093-8185

Mailing address

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X947153 (TX)
Certified Registered Nurse Anesthetist Primary 367500000X157045 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1780396242

Jaeden Wiseman's National Provider Identifier is 1780396242, issued on Dec 15, 2022. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Plano, TX. The record was last updated on Dec 26, 2025.