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NPI Code Detail

MEDICARE: KAROLINA WISE AGACNP-BC

MEDICARE: KAROLINA WISE AGACNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner5022319NC

General Provider Information

NPI Number : 1093609638
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAROLINA WISE AGACNP-BC
Provider Business Mailing Address
First Line : 200 MEMORIAL DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6332
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 317 WESTERN BLVD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6338
Country : US
Telephone Number : 910-577-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2025
Last Update Date : 01/14/2026

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Directions to “ KAROLINA WISE AGACNP-BC” Practice Location

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