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

Shauna Wise

Individual provider Nurse Practitioner · NPI 1356086748

Shauna Wise is a Nurse Practitioner in Princeton, West Virginia. Qualified in 2022, 4 years ago. Works from 3 locations. Licensed in North Carolina and Virginia.

Years since qualifying
4
Licensed in
NC, VA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

156 Thistle St
Princeton, WV 24739-5926
Phone: (304) 952-0302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3214 Charles B Root Wynd Ste 203, Raleigh, NC 27612-5440 — (919) 877-6800
  • 2311 Wilson Blvd Fl 3, Arlington, VA 22201-5436 — (804) 571-2336

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024184185 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 5020634 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024184185 (VA)

Record details

NPI number1356086748
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2022
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address156 Thistle St, Princeton, WV 24739-5926

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Princeton