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 1841611407

Magnolia Adult is an Adult Health Nurse Practitioner in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

1211 SW Bascom Norris Dr Ste 201
Lake City, FL 32025-4916
Phone: (375) 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 number1841611407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ira Lee — Owner · (386) 755-3300
NPI enumeratedDecember 30, 2013
Last updated in NPPESDecember 30, 2013
Mailing address1211 Sw Bascom Norris Dr Ste 201, Lake City, FL 32025-4916

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