PROVIDENCE WELLNESS, LLC

PEARL, MS
NPI1548076490
Entity TypeOrganization
Authorized ContactBARBARA L TAPPS
CEO Owner
601-955-4039
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Additional Taxonomies363LF0000X Nurse Practitioner, Family
Enumeration Date2024-12-05
Last Update Date2025-04-22
Business Address
PROVIDENCE WELLNESS, LLC
4490 HIGHWAY 80 E STE A
PEARL, MS 39208-4206
Phone number: 601-335-8600
Mailing Address
PROVIDENCE WELLNESS, LLC
206 GRAND OAK BLVD
CLINTON, MS 39056-6040
Phone number: 601-955-4039