| NPI | 1932965563 |
|---|---|
| Former Legal Business Name | PURPLE MAGNOLIA HEALTHCARE LLP. |
| Entity Type | Organization |
| Authorized Contact | CHANCELYN PENN Owner And Practitioner 601-419-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-06-18 |