Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Adult

Organization Adult Health Nurse Practitioner · NPI 1033477567

Magnolia Adult is an Adult Health Nurse Practitioner in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

1140 SW Bascom Norris Dr Ste 105
Lake City, FL 32025-1329
Phone: (386) 755-3300
Fax: (386) 755-8595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence ARNP3091702 (FL)

Record details

NPI number1033477567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ira Lee — President · (386) 755-3300
NPI enumeratedMay 3, 2012
Last updated in NPPESMay 3, 2012
Mailing address1140 Sw Bascom Norris Dr Ste 105, Lake City, FL 32025-1329

Other providers in Lake City