Individual provider · Type 1 NPI

Kandala Wise, FNP

Family Nurse Practitioner · Jackson, TN

NPI number 1114739182 Active

About NPI 1114739182

Kandala Wise, FNP's National Provider Identifier is 1114739182, issued on Jan 24, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, TN. The record was last updated on Jan 24, 2025.