KANDALA WISE FNP
NPI 1114739182
Nurse Practitioner - Family in Jackson, TN

NPI Status: Active since January 24, 2025

Contact Information

720 W FOREST AVE
JACKSON, TN
ZIP 38301
Phone: (731) 541-1700

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  • Individual
  • Female
  • Nurse Practitioner
  • Family

About KANDALA WISE

This page provides the complete NPI Profile along with additional information for Kandala Wise, a provider established in Jackson, Tennessee with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1114739182 assigned on January 2025. The practitioner's primary taxonomy code is 363LF0000X with license number 38054 (TN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1114739182
Provider Name
KANDALA WISE FNP
Gender
Female
Entity Type
Individual
Location Address
720 W FOREST AVE JACKSON, TN 38301
Location Phone
(731) 541-1700
Mailing Address
314 BEE FARM RD LEXINGTON, TN 38351
Mailing Phone
(731) 614-9713
Is Sole Proprietor?
No
Enumeration Date
01-24-2025
Last Update Date
01-24-2025
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A nurse practitioner (NP) like Kandala Wise is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
38054
License State
TN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114739182
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212414318116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 4 + 3 + 1 + 8 + 1 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1114739182 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205265485JACKSON MADISON COUNTY GENERAL HOSPITAL
Organization
Pharmacy (Community/Retail Pharmacy)720 W FOREST AVE
JACKSON, TN 38301
(731) 541-1725
1912296047MRS. MARY MURPHY MCMILLIN APN
Individual
Nurse Practitioner720 W FOREST AVE
JACKSON, TN 38301
(731) 541-9561
1184377095 SYDNIE NICKELL FNP-C
Individual
Nurse Practitioner (Family)720 W FOREST AVE
JACKSON, TN 38301
(731) 541-5481
1427431097 JESSICA DAUNE RICH DAVIS D.O.
Individual
Internal Medicine (Hematology & Oncology)720 W FOREST AVE
JACKSON, TN 38301
(731) 541-9561
1649799263DR. REBECCA GUTHRIE MORRIS NP-C
Individual
Nurse Practitioner (Family)720 W FOREST AVE
JACKSON, TN 38301
(731) 541-9561
1659876894 SAIRA FARID MD
Individual
Internal Medicine (Hematology & Oncology)720 W FOREST AVE
JACKSON, TN 38301
(731) 541-5087

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114739182, enumerated in the NPI registry as an "individual" on January 24, 2025

The provider is located at 720 W Forest Ave Jackson, Tn 38301 and the phone number is (731) 541-1700

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

This NPI record was last updated on January 24, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.