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MS. WILMALEAN MICHELLE BLACK NURSE PRACTITIONER
NPI 1114789658
Nurse Practitioner in Meridian, MS

Active since January 30, 2024
2506 39TH ST APT 68, MERIDIAN, MS 39305(601) 850-1012 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Wilmalean Michelle Black Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. WILMALEAN MICHELLE BLACK NURSE PRACTITIONER (NPI 1114789658) is an individual nurse practitioner in Meridian, Mississippi, licensed in Mississippi (12361U4) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1114789658
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. WILMALEAN MICHELLE BLACKCredential: NURSE PRACTITIONER
Location Address2506 39TH ST APT 68Meridian, MS 39305-3887
Mailing Address2506 39th St Apt 68Meridian, MS 39305-3887 · (601) 850-1012
Phone(601) 850-1012
Sole ProprietorYes
Enumeration DateJanuary 30, 2024
Last NPPES UpdateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1114789658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 12361U4
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2506 39TH ST APT 68, Meridian, MS 39305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFELINE DIAGNOSTIC
Community Health Worker
2506 39TH ST APT 68
MERIDIAN, MS 39305
Lauderdale County (601) 850-1012
LIFELINE DIAGNOSTICS CO
Home Health
2506 39TH ST APT 68
MERIDIAN, MS 39305
Lauderdale County (504) 684-4279

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilmalean Black's NPI number?

The NPI number for Wilmalean Black is 1114789658. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Wilmalean Black located?

Wilmalean Black practices at 2506 39th St Apt 68, Meridian, MS 39305. The listed phone number is (601) 850-1012.

What is Wilmalean Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Wilmalean Black was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.