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

Magnolia Mental Health and Wellness PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1366380248

Magnolia Mental Health and Wellness PLLC is a Psychiatric/Mental Health Nurse Practitioner in Gulfport, Mississippi. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

549 E Pass Rd
Gulfport, MS 39507-3261
Phone: (228) 338-6853
Fax: (228) 333-0682
Show map & directions

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

Additional practice locations (1)

  • 180 Debuys Rd, Biloxi, MS 39531-4402 — (228) 388-0600

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1366380248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Aeger Ross — Owner · (228) 338-6853
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address1110 Cowan Rd Ste B, 202, Gulfport, MS 39507-3441

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