Providence Health, PLLC
Providence Health, PLLC is a Nurse Practitioner in Southaven, Mississippi. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7075 Golden Oaks Loop W Ste 10Southaven, MS 38671-9012
Phone: (901) 486-0439
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|
Record details
| NPI number | 1134795628 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Irene Wilson — Fnp-C · (901) 486-0439 |
| Other names | Providence Health |
| NPI enumerated | June 3, 2021 |
| Last updated in NPPES | June 3, 2021 |
| Certification date | June 3, 2021 |
| Mailing address | 481 Clarington Dr, Southaven, MS 38671-5638 |
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Dr. Timothy Michael Pruitt, DNP
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Miss. Andrea Latrice Richmond, AGNP-C
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Amanda S Savage, FNP
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Catherine Ruth Smith, APN
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