Revivewave Therapeutics LLC
Revivewave Therapeutics LLC is a Family Nurse Practitioner in Olive Branch, Mississippi. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6399 Goodman Rd Ste 105Olive Branch, MS 38654-7063
Phone: (662) 300-6822
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
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X |
Record details
| NPI number | 1902724776 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Papa — Owner / Founder · (662) 300-6822 |
| Other names | Revive Integrated Wellness |
| NPI enumerated | July 8, 2026 |
| Last updated in NPPES | July 8, 2026 |
| Certification date | July 8, 2026 |
| Mailing address | 6399 Goodman Rd Ste 105, Olive Branch, MS 38654-7063 |
Other providers in Olive Branch
-
Old Towne Medical LLC
9066 Highland St, Olive Branch, MS 38654-2307 · (662) 890-7717
-
Dimpleben Vikalp Patel
4735 Robinson Loop W, Olive Branch, MS 38654-8175 · (662) 910-9029
-
MS. Roslyn Raquel Perry, NP
4213 Ritchie Dr, Olive Branch, MS 38654-6766 · (901) 647-5798
-
Ginger Raff
7164 Hacks Cross Rd Ste 105, Olive Branch, MS 38654-3919 · (901) 755-5300
-
Mr. Leo Rourke, ARNP
9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 · (662) 893-8484
-
Elizabeth Rudman, FNP
4250 Bethel Rd, Olive Branch, MS 38654-8737 · (662) 932-9000
-
Jennifer C Sanders, FNP-BC
5480 Goodman Rd Ste 1, Olive Branch, MS 38654-7902 · (662) 874-6507
-
Deanna N Shelton, APN
4250 Bethel Rd, Olive Branch, MS 38654-8737 · (662) 932-9111