Organization
MAGNOLIA BLOOM WOMEN'S HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH RUSSELL NP (OWNER/NP/AUTHORIZED OFFICIAL)
(601) 498-7853
Entity
Organization
Contact information
Practice address
9K BAY AVE, BAY SPRINGS, MS 39422-9200
(601) 498-7853
Mailing address
9K BAY AVE, BAY SPRINGS, MS 39422-9200
(601) 498-7853
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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