MEDICARE: MRS. ALISHA BELAWN MCARTHUR WILKES FNP-C

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	363LP2300X	Primary Care Nurse Practitioner	F07151052	MS

General Provider Information

NPI Number	:	1982080602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALISHA BELAWN MCARTHUR WILKES FNP-C

Provider Business Mailing Address
First Line	:	408 FONTAINE PL STE 101-104
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-5179
Country	:	US
Telephone Number	:	769-567-1321
Fax Number	:	601-510-9194

Provider Business Practice Location Address
First Line	:	408 FONTAINE PL STE 101-104
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-5179
Country	:	US
Telephone Number	:	769-567-1321
Fax Number	:	601-510-9194

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

Provider Enumeration Date	:	08/04/2015
Last Update Date	:	04/07/2026

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