MAGNOLIA FAMILY CARE CORP
NPI 1356904353
Nurse Practitioner - Family in Lake City, FL

Active since April 16, 2019
256 SW PROFESSIONAL GLN STE 102, LAKE CITY, FL 32025(386) 319-8938(386) 438-8628 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2025, Apr 16, 2019 (2 updates tracked since 2019).

About Magnolia Family Care Corp NPPES

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

MAGNOLIA FAMILY CARE CORP (NPI 1356904353), doing business as Urolife Wellness, is a healthcare organization registered as a family in Lake City, Florida and active in the NPI registry since April 2019. The organization lists Jennifer Lyn Bryan, Owner, as its authorized official.

NPPES Registry Identity

NPI1356904353
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAGNOLIA FAMILY CARE CORP
Location Address256 SW PROFESSIONAL GLN STE 102Lake City, FL 32025-1104
Mailing Address256 Sw Professional Gln Ste 102Lake City, FL 32025-1104 · (386) 319-8938 · Fax (386) 438-8628
Fax(386) 438-8628
Organization SubpartNo
Authorized OfficialJennifer Lyn BryanOwner · (386) 319-8938
Enumeration DateApril 16, 2019
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
NPI 1356904353 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
256 SW PROFESSIONAL GLN STE 102, Lake City, FL 32025

Other Names 1

Doing Business AsUrolife Wellness

Other Identifiers 1

Other41469FL · Blue Cross

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.

Nurse Practitioner
256 SW PROFESSIONAL GLN STE 102
LAKE CITY, FL 32025

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 Family Care Corp's NPI number?

The NPI number for Magnolia Family Care Corp is 1356904353. It was assigned to this organization in the NPPES registry on April 16, 2019. The provider is doing business as Urolife Wellness.

Where is Magnolia Family Care Corp located?

Magnolia Family Care Corp is located at 256 SW Professional Gln Ste 102, Lake City, FL 32025. The listed phone number is (386) 319-8938.

What is Magnolia Family Care Corp'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 Family Care Corp was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.