Organization · Type 2 NPI
Eternity Wellness 22, LLC
Psychiatric/Mental Health Nurse Practitioner · Biloxi, MS
NPI number
1639836000
Active
Practice location
1636 Popps Ferry Rd Ste 234
Biloxi, MS 39532-2279
Fax (228) 641-2499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1639836000
Eternity Wellness 22, LLC's National Provider Identifier is 1639836000, issued on Nov 19, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Biloxi, MS. The record was last updated on Apr 18, 2024.