Organization · Type 2 NPI

Revive Health and Wellness, LLC

Family Nurse Practitioner · Ocean Springs, MS

NPI number 1255068425 Active

Practice location

2112 Bienville Blvd Ste M1
Ocean Springs, MS 39564-3027

Mailing address

17804 Riverwalk Drive
Vancleave, MS 39565

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1255068425

Revive Health and Wellness, LLC's National Provider Identifier is 1255068425, issued on Aug 6, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ocean Springs, MS. The record was last updated on Sep 1, 2026.