Eternity Wellness 22, LLC
NPI #1639836000 in Biloxi, Mississippi
Provider Information
- NPI Number
- 1639836000
- Entity Type
- Organization
- Organization Name
- Eternity Wellness 22, LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Nov 19, 2021
- Last Updated
- Apr 18, 2024
Practice Location
- Address
- 1636 POPPS FERRY RD STE 234
- City
- Biloxi
- State
- Mississippi
- ZIP Code
- 39532-2279
- Phone
- (888) 777-2671
Authorized Official
- Name
- TAWANA CHANELL RAYMOND, FNP-C, PMHNP-BC
- Title
- NURSE PRACTITIONER, OWNER
- Phone
- (228) 641-2449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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