Individual provider · Type 1 NPI

Blakely David Wise, PA

Physician Assistant · Cornelius, NC

NPI number 1396201935 Active

Practice location

20036 Zion Ave, Ste 100
Cornelius, NC 28031-8435

Call (704) 801-7400 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1100 Blythe Blvd, Charlotte, NC 28203-5814 · (704) 355-4300
  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 · (704) 355-2000
  • 2301 US Highway 74 W, Wadesboro, NC 28170-7554 · (704) 994-4500
  • 201 E Grover St, Shelby, NC 28150-3917 · (980) 487-3000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-08866 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

5 other providers at this address

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About NPI 1396201935

Blakely David Wise, PA's National Provider Identifier is 1396201935, issued on Feb 19, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cornelius, NC. The record was last updated on Sep 25, 2025.