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Tiffany Wise, NP
Family Nurse Practitioner in Reidsville, North Carolina
NPI 1407504582

Tiffany Wise is a Family Nurse Practitioner based in Reidsville, NC and is specialized in Family. Tiffany Wise practices in Reidsville, NC and has the professional credentials of NP. The NPI Number for Tiffany Wise is 1407504582 and holds a License No. 5015934 (North Carolina).

The current practice location address for Tiffany Wise is 1352 W Harrison St, Reidsville, NC and can be reached out via phone at 336-342-3338.

Location: 1352 W Harrison St, Reidsville, NC, 27320-2606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407504582
Provider Name
Tiffany Wise
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1352 W Harrison St, Reidsville, NC, 27320-2606
Phone Number
336-342-3338
Fax Number
Provider Enumeration Date
03/16/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5015934 05 NC
institution
Provider Business Practice Location Address Details
Address
1352 W Harrison St
City
Reidsville
State
North Carolina
Zip
27320-2606
Phone Number
336-342-3338
Fax Number
person
Provider Business Mailing Address Details
Address
1352 W Harrison St
City
Reidsville
State
North Carolina
Zip
27320-2606
Phone Number
336-342-3338
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5015934 (North Carolina)
Definition
Definition to come...
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