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MAGNOLIA MOBILE MEDICAL, PLLC
NPI 1295572451
Nurse Practitioner - Family in Evergreen, NC

Active since July 13, 2024
6475 PRINCESS ANN RD, EVERGREEN, NC 28438(910) 770-3628 Get Directions Write a Review

NPPES record last updated: July 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Mobile Medical, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA MOBILE MEDICAL, PLLC (NPI 1295572451) is a healthcare organization registered as a family in Evergreen, North Carolina and active in the NPI registry since July 2024. The organization lists Tina Nance, Owner, as its authorized official.

NPPES Registry Identity

NPI1295572451
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAGNOLIA MOBILE MEDICAL, PLLC
Location Address6475 PRINCESS ANN RDEvergreen, NC 28438-9519
Mailing Address6475 Princess Ann RdEvergreen, NC 28438-9519 · (910) 770-3628
Phone(910) 770-3628
Organization SubpartNo
Authorized OfficialTina NanceOwner · (910) 770-3628
Enumeration DateJuly 13, 2024
NPPES CertifiedJuly 13, 2024
✔ NPI 1295572451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6475 PRINCESS ANN RD, Evergreen, NC 28438
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TINA B NANCE FNP-C
Nurse Practitioner (Family)
6475 PRINCESS ANN RD
EVERGREEN, NC 28438
Columbus County (910) 770-3628

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Mobile Medical, PLLC's NPI number?

The NPI number for Magnolia Mobile Medical, PLLC is 1295572451. It was assigned to this organization in the NPPES registry on July 13, 2024.

Where is Magnolia Mobile Medical, PLLC located?

Magnolia Mobile Medical, PLLC is located at 6475 Princess Ann Rd, Evergreen, NC 28438. The listed phone number is (910) 770-3628.

What is Magnolia Mobile Medical, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Magnolia Mobile Medical, PLLC was last updated on July 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.