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Native Magnolia Holistic Care Clinic LLC

Organization Active NPI Family Medicine Physician · Saltillo, MS

NPI 1124980412 · NPPES record last updated May 13, 2026

Key facts

NPI
1124980412
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
NATIVE MAGNOLIA HOLISTIC CARE CLINIC LLC
Practice address
2667 Highway 145
Saltillo, MS 38866-9771
Phone
(662) 372-5308
NPI assigned
Nov 25, 2025
Organization subpart
No

Authorized official

Name
Lisa King, NP
Title
Owner
Phone
(662) 269-2532

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Lisa King, FNP Family Nurse Practitioner · Oxford, MS · NPI 1558918540
    NPD FAMILY

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2341896Native Magnolia Holistic Care Clinic
2667 Highway 145, Saltillo, MS 38866		Certificate of waiverApr 8, 2028

National Provider Directory

Locations

2781 Highway 145
Saltillo, MS 38866
Phone (662) 869-0033

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

2667 Highway 145
Saltillo, MS 38866-9771

Mailing address

2667 Highway 145
Saltillo, MS 38866-9771
Phone (662) 269-2532

Other providers in Saltillo, MS

All providers in Saltillo, MS · Family Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.