Organization · Type 2 NPI
Magnolia Mobile Medical, PLLC
Family Nurse Practitioner · Evergreen, NC
NPI number
1295572451
Active
Practice location
6475 Princess Ann Rd
Evergreen, NC 28438-9519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1295572451
Magnolia Mobile Medical, PLLC's National Provider Identifier is 1295572451, issued on Jul 13, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Evergreen, NC. The record was last updated on Jul 13, 2024.