Magnolia Family Care Corp

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MAGNOLIA FAMILY CARE CORP

Practice address

256 SW Professional GLN Ste 102
Lake City, FL 32025-1104

Phone

(386) 319-8938

Fax

(386) 438-8628

NPI assigned

Apr 16, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Lyn Bryan, DNPNPI 1316581879

Title

Owner

Phone

(386) 319-8938

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Urolife Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Jennifer Lyn Bryan, DNP, APRN-C

  • Nurse Practitioner
  • Lake City, FL
  • NPI 1316581879
  Medicare reassignment NPD Authorized official
• Cynthia Bautista Magrini, MD

  • Internal Medicine Physician
  • Lake City, FL
  • NPI 1487737482
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1356904353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 SW PROFESSIONAL GLN STE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251104",
            "telephone_number": "386-319-8938",
            "fax_number": "386-438-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SW PROFESSIONAL GLN STE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251104",
            "telephone_number": "386-319-8938",
            "fax_number": "386-438-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-319-8938",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "41469",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urolife Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Dentistry LLC
• Dylan Madison, PHARM D
• Zara Elizabeth Magana
• Magnolia Adult
• Magnolia Adult
• Magnolia Pediatrics LLC
• Cynthia Bautista Magrini, MD
• Thomas Bennett Mahan II, RRT
• Heather Marie Mahoney, LCSW
• Lauren Maloney, MSCAP

• Family Nurse Practitioner in Lake City, FL
• Providers in Lake City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.