Skip to content

Alliance Healthcare System

NPI 1609973056ActiveOrganization· Nurse Practitioner· Holly Springs, MS

Nurse Practitioner in Holly Springs, Mississippi, registered in NPPES in September 2006. The authorized official on file is Richard Goodman Wiseman, FNP, Employee.

Overview

NPI1609973056
StatusActive
Entity typeOrganization
NPI issuedSep 20, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner providers in Holly Springs

All Nurse Practitioner providers in Mississippi →