MAGNOLIA MENTAL HEALTH AND WELLNESS PLLC
NPI 1366380248
Nurse Practitioner - Psychiatric/Mental Health in Gulfport, MS

Active since March 23, 2026
549 E PASS RD, GULFPORT, MS 39507(228) 338-6853(228) 333-0682 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About MAGNOLIA MENTAL HEALTH AND WELLNESS PLLC

This page provides the complete NPI Profile along with additional information for Magnolia Mental Health And Wellness Pllc, a provider established in Gulfport, Mississippi operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1366380248 assigned on March 2026. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Charlotte Aeger Ross Pmhnp (Owner)

NPI
1366380248 Verify this NPI
Provider Name
MAGNOLIA MENTAL HEALTH AND WELLNESS PLLC
Entity Type
Organization
Location Address
549 E PASS RD GULFPORT, MS 39507
Location Phone
(228) 338-6853
Location Fax
(228) 333-0682
Mailing Address
1110 COWAN RD STE B #202 GULFPORT, MS 39507
Mailing Phone
(228) 338-6853
Mailing Fax
(228) 333-0682
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2026
Last Update Date
03-23-2026
Code Navigator

A nurse practitioner (NP) like Magnolia Mental Health And Wellness Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 180 Debuys Rd
    Biloxi, MS 39531
    (228) 388-0600

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLOTTE AEGER ROSS PMHNP

Authorized Official Title
OWNER
Authorized Official Phone
(228) 338-6853

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
549 E PASS RD, SUITE P
GULFPORT, MS 39507
Nurse Practitioner (Psychiatric/Mental Health)
549 E PASS RD
GULFPORT, MS 39507

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366380248, enumerated as an "organization" on March 23, 2026.

The provider is located at 549 E PASS RD GULFPORT, MS 39507 and the phone number is (228) 338-6853.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.