PRINCESS SAMARRA WISE APRN FNP-BC NPI 1386594836

NPI Information

  • NPI: 1386594836
  • Provider Name: PRINCESS SAMARRA WISE, APRN, FNP-BC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2730 PEACHTREE INDUSTRIAL BLVD STE 105
    DULUTH, GA
    ZIP 30097
  • Phone: (770) 600-2458

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NPI Details

Princess Samarra Wise, APRN, FNP-BC is a family medicine in Duluth, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Princess Samarra Wise, APRN, FNP-BC NPI is 1386594836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2730 PEACHTREE INDUSTRIAL BLVD STE 105
DULUTH, GA
ZIP 30097-627
Phone: (770) 600-2458
Fax: (770) 600-2459

The enumeration date for this NPI number is 2/2/2026 and was last updated on 2/2/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA188755IOWANo
2207Q00000XFamily Medicine4704436467MICHIGANNo
3207Q00000XFamily MedicineAPRN-NP316052GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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