Healthcare Provider Details

I. General information

NPI: 1386626851
Provider Name (Legal Business Name): NICOLE M. FORBES-POWE DNP, CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 24TH AVE
MERIDIAN MS
39301-3926
US

IV. Provider business mailing address

2401 16TH ST
MERIDIAN MS
39301-3950
US

V. Phone/Fax

Practice location:
  • Phone: 601-482-1002
  • Fax: 601-484-7561
Mailing address:
  • Phone: 601-482-4181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR846324
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR846324
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11041976
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR846324
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: