Magnolia Healthcare Center LLC Group

NPI #1215209648 in Magnolia, Arkansas

Provider Information

NPI Number: 1215209648
Entity Type: Organization
Organization Name: Magnolia Healthcare Center LLC Group
Subpart: Yes (part of a larger organization)
Parent Organization: MAGNOLIA HEALTHCARE CENTER LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 1, 2012
Last Updated: Feb 1, 2012

Practice Location

Address: 2642 N DUDNEY RD
City: Magnolia
State: Arkansas
ZIP Code: 71753-4305
Phone: (870) 234-7000

Authorized Official

Name: MS. JEANNE H BUTTERWORTH
Title: MEMBER
Phone: (410) 527-4083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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