Healthcare Provider Details

I. General information

NPI: 1295658557
Provider Name (Legal Business Name): WEAVE AND BEYOND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 NORTHTOWN DR STE O
JACKSON MS
39211-3048
US

IV. Provider business mailing address

2501 RIVER OAKS BLVD APT 7J
JACKSON MS
39211-3633
US

V. Phone/Fax

Practice location:
  • Phone: 601-540-1119
  • Fax:
Mailing address:
  • Phone: 601-540-1119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: FRANCESSA ELLISON
Title or Position: MANAGING MEMBER
Credential: CMA
Phone: 601-540-1119