Organization · Type 2 NPI
Magnolia Adult
Adult Health Nurse Practitioner · Lake City, FL
NPI number
1033477567
Active
Practice location
1140 SW Bascom Norris Dr Ste 105
Lake City, FL 32025-1329
Fax (386) 755-8595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | ARNP3091702 (FL) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Lake City
About NPI 1033477567
Magnolia Adult's National Provider Identifier is 1033477567, issued on May 3, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lake City, FL. The record was last updated on May 3, 2012.