MEDICARE: ARIEL POWELL NP

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	163W00000X	Registered Nurse	901160	MS
2	363L00000X	Nurse Practitioner	1026306	TX
3	363LF0000X	Family Nurse Practitioner	27662	TN

General Provider Information

NPI Number	:	1750904595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL POWELL NP

Provider Business Mailing Address
First Line	:	1820 PEABODY ST
Second Line	:
City	:	TUNICA
State	:	MS
Zip	:	38676-9441
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 PEABODY ST
Second Line	:
City	:	TUNICA
State	:	MS
Zip	:	38676-9441
Country	:	US
Telephone Number	:	662-363-3971
Fax Number	:

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

Provider Enumeration Date	:	05/27/2020
Last Update Date	:	01/21/2026

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Directions to “ ARIEL POWELL NP” Practice Location

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