Organization · Type 2 NPI

Purple Magnolia Healthcare LLC

Primary Care Nurse Practitioner · Gulfport, MS

NPI number 1932965563 Active

Practice location

1520 29th Ave Ste 3
Gulfport, MS 39501-2843

Call (601) 419-7665 Map

Other practice locations

4835 Werner Dr, New Orleans, LA 70126-4445 · (601) 419-7665

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center	261QM1300X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed
Primary Care Nurse Practitioner Primary	363LP2300X	None listed

Primary Care Nurse Practitioner: Definition to come...

2 other providers at this address

Chancelyn S. Penn, CNPPsychiatric/Mental Health Nurse Practitioner Gulfport, MS NPI 1487169678
Jasmine L. Smith, LPCMental Health Counselor Gulfport, MS NPI 1396380234

Other primary care nurse practitioner providers in Gulfport

Total Love Care Health LLCPrimary Care Nurse Practitioner Gulfport, MS NPI 1740989581

See all in Gulfport →

NPI record

NPI: 1932965563
Entity type: Organization (Type 2)
Issued: Feb 21, 2024
Last updated: Jun 18, 2024
Status: Active

Other names

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Purple Magnolia Healthcare Llp. · former legal business name
Purple Magnolia Healthcare Llp. · former legal business name

Authorized official

Chancelyn Penn
Owner and Practitioner
(601) 419-7665

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1932965563

Purple Magnolia Healthcare LLC's National Provider Identifier is 1932965563, issued on Feb 21, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Gulfport, MS. The record was last updated on Jun 18, 2024.