Organization · Type 2 NPI

Southern Magnolia Health and Wellness LLC

Nurse Practitioner · Ormond Beach, FL

NPI number 1871108274 Active

Practice location

533 N Nova Rd Ste 209
Ormond Beach, FL 32174-4422

Mailing address

490 N Yonge St
Ormond Beach, FL 32174-5252

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…

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About NPI 1871108274

Southern Magnolia Health and Wellness LLC's National Provider Identifier is 1871108274, issued on Sep 11, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ormond Beach, FL. The record was last updated on Sep 11, 2020.