Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Magnolia Medical, LLC

Organization Nurse Practitioner · NPI 1467320713

Magnolia Medical, LLC provides Nurse Practitioner services in Pontotoc, Mississippi. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

351 Peoples Dr
Pontotoc, MS 38863-8990
Phone: (662) 321-3709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1467320713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Clegg-Alderman — Owner · (662) 321-3709
NPI enumeratedOctober 28, 2025
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026
Mailing address109 Clermont Ct, Tupelo, MS 38801-0003

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