Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eternity Wellness 22, LLC

Organization Family Nurse Practitioner · NPI 1639836000

Eternity Wellness 22, LLC is a Family Nurse Practitioner in Biloxi, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1636 Popps Ferry Rd Ste 234
Biloxi, MS 39532-2279
Phone: (888) 777-2671
Fax: (228) 641-2499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1639836000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tawana Raymond — Nurse Practitioner, Owner · (228) 641-2449
NPI enumeratedNovember 19, 2021
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024
Mailing address1636 Popps Ferry Rd Ste 234, Biloxi, MS 39532-2279

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