Organization
MG WELLNESS AND EDUCATION, LLC
Active
Other names
MG Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DONALDSON (FNP-C)
(225) 806-9750
Entity
Organization
Contact information
Practice address
38494 HIGHWAY 42, PRAIRIEVILLE, LA 70769-4013
(225) 806-9750
Mailing address
17175 FOUNTAINBLEAU DR, PRAIRIEVILLE, LA 70769-5375
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
07/07/2022
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