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

Providence Wellness, LLC

Organization Family Nurse Practitioner · NPI 1548076490

Providence Wellness, LLC is a Family Nurse Practitioner in Pearl, Mississippi. Registered with an NPI since 2024.

In the registry since
2024
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

4490 Highway 80 E Ste A
Pearl, MS 39208-4206
Phone: (601) 335-8600
Fax: (240) 219-3126
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 number1548076490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Tapps — Ceo Owner · (601) 955-4039
NPI enumeratedDecember 5, 2024
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address206 Grand Oak Blvd, Clinton, MS 39056-6040

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