Individual provider · Type 1 NPI
Kisha Nicole Gilliard-Wise, NP
Family Nurse Practitioner · Baltimore, MD
NPI number
1306505987
Active
Practice location
7315 Kathydale Rd
Baltimore, MD 21207-4623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R156288 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306505987
Kisha Nicole Gilliard-Wise, NP's National Provider Identifier is 1306505987, issued on Dec 10, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baltimore, MD. The record was last updated on Dec 10, 2021.