Individual provider · Type 1 NPI
Kristen Elizabeth Wissbaum, NP
Nurse Practitioner · Wilmington, NC
Practice location
1725 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Fax (910) 662-2401
Mailing address
PO Box 936857
Atlanta, GA 31193-6857
Other practice locations
- 2131 S 17th St, Wilmington, NC 28401-7407 · (910) 667-4289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5012734 (NC) |
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 1356972483
Kristen Elizabeth Wissbaum, NP's National Provider Identifier is 1356972483, issued on Jan 28, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilmington, NC. The record was last updated on Jul 7, 2021.