Organization · Type 2 NPI

Magnolia Family Practice

Nurse Practitioner · Prattville, AL

NPI number 1205692407 Active

Practice location

1841 Glynwood Dr
Prattville, AL 36066-5584

Fax (334) 568-5021

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

About NPI 1205692407

Magnolia Family Practice's National Provider Identifier is 1205692407, issued on Feb 26, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Prattville, AL. The record was last updated on Apr 10, 2025.