Individual provider · Type 1 NPI

Katlin Wise

Nurse Practitioner · Marietta, GA

NPI number 1770102949 Active

Practice location

677 Church St NE
Marietta, GA 30060-1101

Mailing address

921 Tamarisk Pl
Canton, GA 30114-1276

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN255539 (GA)
Nurse Practitioner Primary 363L00000XRN255539 (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 1770102949

Katlin Wise's National Provider Identifier is 1770102949, issued on Apr 8, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Marietta, GA. The record was last updated on Feb 10, 2025.