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

Magnolia Health Care LLC

Organization Family Nurse Practitioner · NPI 1154139640

Magnolia Health Care LLC is a Family Nurse Practitioner in Gambrills, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2407 Baneberry Ln
Gambrills, MD 21054-1992
Phone: (301) 715-3010
Fax: (410) 220-8162
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1154139640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaquilla Vazquez Clark — Family Nurse Practitioner · (301) 715-3010
Other names Magnolia Body Renew; Magnolia Mobile Care
NPI enumeratedDecember 30, 2024
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address2407 Baneberry Ln, Gambrills, MD 21054-1992

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