MEDICARE: AISHA GUY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	922945	MS

General Provider Information

NPI Number	:	1235078239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AISHA GUY

Provider Business Mailing Address
First Line	:	64 FIRST COLONY CIR
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39702-7900
Country	:	US
Telephone Number	:	662-630-0702
Fax Number	:

Provider Business Practice Location Address
First Line	:	64 FIRST COLONY CIR
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39702-7900
Country	:	US
Telephone Number	:	662-630-0702
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “ AISHA GUY ” Practice Location

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