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PRINCESS SAMARRA WISE APRN, FNP-BC
NPI 1386594836
Nurse Practitioner - Family in Duluth, GA

Active since February 02, 2026
2730 PEACHTREE INDUSTRIAL BLVD STE 105, DULUTH, GA 30097(770) 600-2458(770) 600-2459 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2026, Feb 2, 2026 (2 updates tracked since 2026).

About Princess Samarra Wise Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRINCESS SAMARRA WISE APRN, FNP-BC (NPI 1386594836) is an individual family provider in Duluth, Georgia, licensed in Georgia (APRN-NP316052) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1386594836
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePRINCESS SAMARRA WISECredential: APRN, FNP-BC
Location Address2730 PEACHTREE INDUSTRIAL BLVD STE 105Duluth, GA 30097-8627
Mailing Address2730 Peachtree Industrial Blvd Ste 105Duluth, GA 30097-8627 · (770) 600-2458 · Fax (770) 600-2459
Phone(770) 600-2458
Fax(770) 600-2459
Sole ProprietorYes
Enumeration DateFebruary 2, 2026
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1386594836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · APRN-NP316052✔ Licensed in MI · 4704436467✔ Licensed in FL · APRN11045465✔ Licensed in CT · 16765✔ Licensed in IA · A188755
2730 PEACHTREE INDUSTRIAL BLVD STE 105, Duluth, GA 30097
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KISHA NICOLE GARNER NP
Nurse Practitioner (Psychiatric/Mental Health)
2730 PEACHTREE INDUSTRIAL BLVD STE 105
DULUTH, GA 30097
Gwinnett County (404) 786-3845
PURE CROWN COUTURE LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2730 PEACHTREE INDUSTRIAL BLVD STE 105
DULUTH, GA 30097
Gwinnett County (213) 500-0938
MS. MARQUITA KATRICE THOMAS CPT
Technician, Pathology (Phlebotomy)
2730 PEACHTREE INDUSTRIAL BLVD STE 105
DULUTH, GA 30097
Gwinnett County (678) 476-2060
DR. PURNIMA BANSAL M.D.
Family Medicine
2730 PEACHTREE INDUSTRIAL BLVD STE 105
DULUTH, GA 30097
Gwinnett County (404) 490-0754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Princess Wise's NPI number?

The NPI number for Princess Wise is 1386594836. It was assigned to this individual provider in the NPPES registry on February 2, 2026.

Where is Princess Wise located?

Princess Wise practices at 2730 Peachtree Industrial Blvd Ste 105, Duluth, GA 30097. The listed phone number is (770) 600-2458.

What is Princess Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Princess Wise was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.