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

Magnolia Sage Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1104785369

Magnolia Sage Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Surprise, Arizona. Registered with an NPI since 2026.

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

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Practice location Address checks out

14239 W Bell Rd Ste 203
Surprise, AZ 85374-2471
Phone: (623) 356-1560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1104785369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Pech — Owner · (608) 208-2711
NPI enumeratedJanuary 21, 2026
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address14239 W Bell Rd Ste 203, Surprise, AZ 85374-2471

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