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Organization

MAGNOLIA HEALTH COLLECTIVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW ALLEN DAVENPORT NP (NURSE PRACTITIONER)
(912) 381-3811
Entity
Organization

Contact information

Practice address
5217 ARTS ST, NEW ORLEANS, LA 70122-5142
(912) 381-3811
Mailing address
5217 ARTS ST, NEW ORLEANS, LA 70122-5142
(912) 381-3811

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
08/04/2025
Last updated
08/04/2025
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