Healthcare Provider Details

I. General information

NPI: 1235078239
Provider Name (Legal Business Name): AISHA SHAYMON GUY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 FIRST COLONY CIR
COLUMBUS MS
39702-7900
US

IV. Provider business mailing address

64 FIRST COLONY CIR
COLUMBUS MS
39702-7900
US

V. Phone/Fax

Practice location:
  • Phone: 662-630-0702
  • Fax:
Mailing address:
  • Phone: 662-630-0702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3-003249
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number908712
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: