Mission Wellness LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MISSION WELLNESS LLC

Practice address

1483 Southern Ridge TRL
Olive Branch, MS 38654-6498

Phone

(662) 720-2357

NPI assigned

Oct 17, 2025

Last updated

Oct 17, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Audra K JonesNPI 1821487844

Title

Owner

Phone

(662) 468-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audra K Jones, FNP

  • Nurse Practitioner
  • Olive Branch, MS
  • NPI 1821487844
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1346117116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 SOUTHERN RIDGE TRL",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546498",
            "telephone_number": "662-720-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 SOUTHERN RIDGE TRL",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546498",
            "telephone_number": "662-720-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-468-1000"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midsouth Rheumatology
• Glenda Fae Milam
• Shelley A Miller, DNP, FNP-C
• Brian A Millikin, PHARM.D.
• Maria Luciano Miranda
• Mississippi CVS Pharmacy LLC (CVS Pharmacy #17498)
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy #05604)
• Mississippi State Department of Health
• Tasha D Mitchell, LCSW
• Kenneth Carl Mitten, LCSW

• Nurse Practitioner in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.