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

Purple Magnolia Healthcare LLC

Organization Multi-Specialty Clinic/Center · NPI 1932965563

Purple Magnolia Healthcare LLC is a Multi-Specialty Clinic/Center in Gulfport, Mississippi. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
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

1520 29th Ave Ste 3
Gulfport, MS 39501-2843
Phone: (601) 419-7665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4835 Werner Dr, New Orleans, LA 70126-4445 — (601) 419-7665

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1932965563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chancelyn Penn — Owner And Practitioner · (601) 419-7665
Other names Purple Magnolia Healthcare Llp.; Purple Magnolia Healthcare Llp.
NPI enumeratedFebruary 21, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address1520 29th Ave Ste 3, Gulfport, MS 39501-2843

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