Individual provider · Type 1 NPI

Wilmalean Michelle Black, NURSE PRACTITIONER

Nurse Practitioner · Meridian, MS

NPI number 1114789658 Active

Practice location

2506 39th St Apt 68
Meridian, MS 39305-3887

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X12361U4 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1114789658

Wilmalean Michelle Black, NURSE PRACTITIONER's National Provider Identifier is 1114789658, issued on Jan 30, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Meridian, MS. The record was last updated on Mar 17, 2026.