Organization
PURPLE MAGNOLIA HEALTHCARE LLC
Active
Other names
Purple Magnolia Healthcare LLP.
Organization subpart
No
Provider details
NPI number
Authorized official
CHANCELYN PENN (OWNER AND PRACTITIONER)
(601) 419-7665
Entity
Organization
Contact information
Practice address
1520 29TH AVE STE 3, GULFPORT, MS 39501-2843
(601) 419-7665
Mailing address
1520 29TH AVE STE 3, GULFPORT, MS 39501-2843
(601) 419-7665
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
06/18/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up