Individual provider · Type 1 NPI
Mary Elizabeth Wise, NP-C
Nurse Practitioner · Evans, GA
Practice location
496 Fairfield Ct
Evans, GA 30809-3641
Mailing address
3647 J Dewey Gray Cir Ste 200
Augusta, GA 30909-2205
Other practice locations
- 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 · (706) 504-9712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN213344 (GA) |
| Nurse Practitioner Primary | 363L00000X | RN213344 (GA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1184047565
Mary Elizabeth Wise, NP-C's National Provider Identifier is 1184047565, issued on Jan 21, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Evans, GA. The record was last updated on Jan 4, 2022.