Individual provider · Type 1 NPI
Tiffany Antoinette Wise, NP
Family Nurse Practitioner · Reidsville, NC
NPI number
1407504582
Active
Practice location
1352 W Harrison St
Reidsville, NC 27320-2606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5015934 (NC) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1407504582
Tiffany Antoinette Wise, NP's National Provider Identifier is 1407504582, issued on Mar 16, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Reidsville, NC. The record was last updated on Mar 17, 2026.