# MAGNOLIA PSYCHIATRIC SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417423989
- **Authorized official:** MRS. NADINE ANNICA SMITH NP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (443) 823-6626

## Contact information

- **Practice address:** 7100 GUILFORD DR \# 2071, FREDERICK, MD 21704-5257
- **Practice address phone:** (360) 567-8466
- **Practice address fax:** (660) 951-7859
- **Mailing address:** 4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662-6857
- **Mailing address phone:** (360) 567-8466
- **Mailing address fax:** (660) 951-7859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2018
- **Last updated:** 03/10/2026