Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kandala Wise, FNP

Individual provider Family Nurse Practitioner · NPI 1114739182

Kandala Wise, FNP is a Nurse Practitioner in Jackson, Tennessee. Qualified in 2024, 2 years ago. Practices with Jackson Madison County General Hospital, a 56-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

720 W Forest Ave
Jackson, TN 38301-3904
Phone: (731) 541-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 38054 (TN)

Record details

NPI number1114739182
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 24, 2025
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025
Mailing address314 Bee Farm Rd, Lexington, TN 38351-6152

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Jackson Madison County General Hospital — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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