Organization
MAGNOLIA OPTIMIZED CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIANNA LUCKETT DNP (NURSE PRACTITIONER)
(601) 213-4302
Entity
Organization
Contact information
Practice address
120 HARVEY WATKINS DR N, CANTON, MS 39046-3624
(601) 213-4302
Mailing address
120 HARVEY WATKINS DR N, CANTON, MS 39046-3624
(601) 213-4302
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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