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Magnolia Mental Health and Wellness LLC

NPI 1699557116ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Cookeville, TN

Nurse Practitioner, Psych/Mental Health in Cookeville, Tennessee, registered in NPPES in October 2023. The authorized official on file is Vickie Brown, PMHNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1699557116
StatusActive
Entity typeOrganization
NPI issuedOct 18, 2023
Last updated in NPPESOct 18, 2023
Certified by providerOct 18, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TN)

Medicare sources and data years

Other Nurse Practitioner, Psych/Mental Health providers in Cookeville

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