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

Magnolia Woman's Clinic, PA

Organization Obstetrics Physician · NPI 1144491580

Magnolia Woman's Clinic, PA is an Obstetrics Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.

Licensed in
MS
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

970 Lakeland Dr Ste 43
Jackson, MS 39216-4635
Phone: (601) 200-8201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics Physician (primary) Taxonomy 207VX0000X · Licence 11096 (MS)

Record details

NPI number1144491580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Wolfe — Owner/President · (601) 200-8201
NPI enumeratedMarch 13, 2008
Last updated in NPPESMarch 13, 2008
Mailing address970 Lakeland Dr, Suite 43, Jackson, MS 39216-4635

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