institution
Magnolia Adult
Adult Health Nurse Practitioner in Lake City, Florida
NPI 1841611407

Magnolia Adult is an Adult Health Nurse Practitioner based in Lake City, FL and is specialized in Adult Health. Magnolia Adult practices in Lake City, FL. The NPI Number for Magnolia Adult is 1841611407 and holds a License No. ARNP3091702 (Florida).

The current practice location address for Magnolia Adult is 1211 Sw Bascom Norris Dr Ste 201, Lake City, FL and can be reached out via phone at 375-755-3300 and via fax at 386-755-8595.

Location: 1211 Sw Bascom Norris Dr Ste 201, Lake City, FL, 32025-4916
institution
Provider Profile Details
NPI Number
1841611407
Provider Name
Magnolia Adult
Credential
Provider Entity Type
Organization
Address
1211 Sw Bascom Norris Dr Ste 201, Lake City, FL, 32025-4916
Phone Number
375-755-3300
Fax Number
386-755-8595
Provider Enumeration Date
12/30/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y02HU 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1211 Sw Bascom Norris Dr Ste 201
City
State
Zip
32025-4916
Phone Number
375-755-3300
Fax Number
386-755-8595
person
Provider Business Mailing Address Details
Address
1211 Sw Bascom Norris Dr Ste 201
City
State
Zip
32025-4916
Phone Number
375-755-3300
Fax Number
386-755-8595
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
ARNP3091702 (Florida)
Definition
Definition to come...
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