Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revive Health and Wellness, LLC

Organization Family Nurse Practitioner · NPI 1255068425

Revive Health and Wellness, LLC provides Family Nurse Practitioner services in Ocean Springs, Mississippi. Registered with an NPI since 2022.

In the registry since
2022
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

2112 Bienville Blvd Ste M1
Ocean Springs, MS 39564-3027
Phone: (228) 324-5347
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1255068425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Traci White — Owner · (228) 324-5347
NPI enumeratedAugust 6, 2022
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026
Mailing address17804 Riverwalk Drive, Vancleave, MS 39565

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