Providence Health, PLLC
NPI 1134795628 · Nurse Practitioner · Southaven, MS
Providence Health, PLLC is a Nurse Practitioner organization in Southaven, MS (NPI 1134795628).
Provider details
- NPI number
- 1134795628
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Irene Wilson, Fnp-C(901) 486-0439
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Health
Registry dates
- Enumerated
- 2021-06-03
- Last updated
- 2021-06-03
- Certified
- 2021-06-03
Frequently asked questions
- What is Providence Health, PLLC's NPI number?
- Providence Health, PLLC's National Provider Identifier (NPI) is 1134795628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health, PLLC?
- Providence Health, PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Providence Health, PLLC located?
- Providence Health, PLLC's practice location on file with NPPES is 7075 Golden Oaks Loop W Ste 10, Southaven, MS 38671-9012.
- What is Providence Health, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Health, PLLC is (901) 486-0439.
- Who is the authorized official for Providence Health, PLLC?
- The authorized official listed on Providence Health, PLLC's NPPES record is Irene Wilson, Fnp-C. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health, PLLC's NPI active?
- Yes — Providence Health, PLLC's NPI (1134795628) is active in the NPPES registry as of the last update on 2021-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.