PURPLE MAGNOLIA HEALTHCARE LLC

GULFPORT, MS
NPI1932965563
Former Legal Business NamePURPLE MAGNOLIA HEALTHCARE LLP.
Entity TypeOrganization
Authorized ContactCHANCELYN PENN
Owner And Practitioner
504-295-0304
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Additional Taxonomies261QM1300X Clinic/Center, Multi-Specialty
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2024-02-21
Last Update Date2024-03-13
Business Address
PURPLE MAGNOLIA HEALTHCARE LLC
1520 29TH AVE STE 3
GULFPORT, MS 39501-2843
Phone number: 504-295-0304
Mailing Address
PURPLE MAGNOLIA HEALTHCARE LLC
1520 29TH AVE STE 3
GULFPORT, MS 39501-2843
Phone number: 504-295-0304