Providence Wellness, LLC
NPI #1548076490 in Pearl, Mississippi
Provider Information
- NPI Number
- 1548076490
- Entity Type
- Organization
- Organization Name
- Providence Wellness, LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Dec 5, 2024
- Last Updated
- Apr 22, 2025
Practice Location
- Address
- 4490 HIGHWAY 80 E STE A
- City
- Pearl
- State
- Mississippi
- ZIP Code
- 39208-4206
- Phone
- (601) 335-8600
Authorized Official
- Name
- BARBARA L TAPPS, NURSE PRACTITIONER
- Title
- CEO OWNER
- Phone
- (601) 955-4039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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