# MAGNOLIA HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Health and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124906722
- **Authorized official:** STEPHANIE RUCKMAN DNP,FNP-BC (OWNER/OPERATOR)
- **Authorized official phone:** (615) 308-9668

## Contact information

- **Practice address:** 516 MAIN ST N \# A, CARTHAGE, TN 37030-1243
- **Practice address phone:** (615) 437-0227
- **Practice address fax:** (615) 437-0350
- **Mailing address:** 516 MAIN ST N \# A, CARTHAGE, TN 37030-1243
- **Mailing address phone:** (615) 437-0227
- **Mailing address fax:** (615) 437-0350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2025
- **Last updated:** 09/30/2025