Individual provider · Type 1 NPI

Kathryn Dudley Wiley, ACPNP-C

Nurse Practitioner · Columbus, GA

NPI number 1780475970 Active

Practice location

710 Center St
Columbus, GA 31901-1527

Mailing address

124 Sweetwater Bridge Cir
Douglasville, GA 30134-5503

Other practice locations

  • 124 Sweetwater Bridge Cir, Douglasville, GA 30134-5503 · (251) 895-5914

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XRN198139 (GA)
Nurse Practitioner Primary 363L00000XRN198139 (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 1780475970

Kathryn Dudley Wiley, ACPNP-C's National Provider Identifier is 1780475970, issued on May 15, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbus, GA. The record was last updated on Oct 22, 2025.