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NPI Code Detail

MEDICARE: RACHEL WISE PMHNP-BC

MEDICARE: RACHEL WISE PMHNP-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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner35612TN

General Provider Information

NPI Number : 1205524857
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL WISE PMHNP-BC
Provider Business Mailing Address
First Line : 1635 CHESTNUT ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37408-1024
Country : US
Telephone Number : 423-413-6195
Fax Number : 423-497-3385
Provider Business Practice Location Address
First Line : 1635 CHESTNUT ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37408-1024
Country : US
Telephone Number : 423-413-6195
Fax Number : 423-497-3385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 01/15/2026

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Directions to “ RACHEL WISE PMHNP-BC” Practice Location

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