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

Magnolia Mobile Medical, PLLC

Organization Family Nurse Practitioner · NPI 1295572451

Magnolia Mobile Medical, PLLC is a Family Nurse Practitioner in Evergreen, North Carolina. Registered with an NPI since 2024.

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

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Practice location Address checks out

6475 Princess Ann Rd
Evergreen, NC 28438-9519
Phone: (910) 770-3628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1295572451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Nance — Owner · (910) 770-3628
NPI enumeratedJuly 13, 2024
Last updated in NPPESJuly 13, 2024
Certification dateJuly 13, 2024
Mailing address6475 Princess Ann Rd, Evergreen, NC 28438-9519

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