Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Callissa G Wilkerson, NP-C

Individual provider Family Nurse Practitioner · NPI 1144786229

Callissa G Wilkerson, NP-C is a Nurse Practitioner in Laurel, Mississippi. Qualified in 2018, 8 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Connecticut, Mississippi and Texas.

Years since qualifying
8
Licensed in
CT, MS, TX
In the registry since
2019
Specialties on file
4
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1706 W 12th St
Laurel, MS 39440-2559
Phone: (601) 369-2028
Fax: (601) 649-7805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 N 15th Ave, Laurel, MS 39440-3839 — (601) 651-6362

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903129 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1217447 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence 903129 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 015362 (CT)

Record details

NPI number1144786229
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2019
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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