MAGNOLIA PSYCHIATRY NPI 1255090510

NPI Information

NPI: 1255090510
Provider Name: MAGNOLIA PSYCHIATRY
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
312 S 4TH ST STE 700
LOUISVILLE, KY
ZIP 40202
Phone: (615) 813-0726
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MAGNOLIA PSYCHIATRY is a psychiatric/mental health nurse practitioner in Louisville, KY. MAGNOLIA PSYCHIATRY NPI is 1255090510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

312 S 4TH ST STE 700
LOUISVILLE, KY
ZIP 40202-046
Phone: (615) 813-0726

The provider's authorized official is Angel Squire .
The authorized official title is Owner and has the following contact phone number (615) 813-0726.

The enumeration date for this NPI number is 12/14/2021 and was last updated on 2/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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