Healthcare Provider Details

I. General information

NPI: 1861375651
Provider Name (Legal Business Name): TRINITY HEALTH URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1886 POPPS FERRY RD
BILOXI MS
39532-2104
US

IV. Provider business mailing address

PO BOX 10052
LOVES PARK IL
61131-0052
US

V. Phone/Fax

Practice location:
  • Phone: 228-338-1515
  • Fax:
Mailing address:
  • Phone: 228-338-1515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE L WILSON
Title or Position: FAMILY NURSE PRACTITIONER-OWNER
Credential: NP
Phone: 228-338-1515