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

Kimberly Wise, NP

Individual provider Pediatric Nurse Practitioner · NPI 1124663521

Kimberly Wise, NP is a Pediatric Nurse Practitioner in Syracuse, New York. Licensed in Massachusetts and New York. Registered with an NPI since 2019.

Licensed in
MA, NY
In the registry since
2019
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210
Phone: (315) 464-5450
Fax: (315) 464-6322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 382971 (NY)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN233955 (MA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN2332955 (MA)

Record details

NPI number1124663521
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 10, 2019
Last updated in NPPESMay 28, 2024
Certification dateJanuary 28, 2020
Mailing address251 Salina Meadows Parkway, Suite 100, Syracuse, NY 13212

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