Organization
MAGNOLIA BARK WOUND CARE SOLUTIONS L.L.C.
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEACHEL COOK MCMILLAN FNP (PROVIDER/OWNER)
(504) 875-6629
Entity
Organization
Contact information
Practice address
4480 GENERAL DEGAULLE DR STE 107, NEW ORLEANS, LA 70131-6302
(504) 265-9044
Mailing address
4480 GENERAL DEGAULLE DR STE 107, NEW ORLEANS, LA 70131-6302
(504) 265-9044
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
03/03/2026
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