Healthcare Provider Details

I. General information

NPI: 1023934528
Provider Name (Legal Business Name): INTEGRAL HEALTH & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 DEVEREAUX DR
NATCHEZ MS
39120-4207
US

IV. Provider business mailing address

319 DEVEREAUX DR
NATCHEZ MS
39120-4207
US

V. Phone/Fax

Practice location:
  • Phone: 601-597-4422
  • Fax: 601-442-0418
Mailing address:
  • Phone: 601-597-4422
  • Fax: 601-442-0418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHARON BRADFORD
Title or Position: FNP-C/OWNER
Credential: NP
Phone: 601-597-4422