Magnolia Bloom Women'S Health and Wellness LLC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Legal business name

MAGNOLIA BLOOM WOMEN'S HEALTH AND WELLNESS LLC

Practice address

9K Bay Ave
Bay Springs, MS 39422-9200

Phone

(601) 498-7853

NPI assigned

Jun 9, 2026

Organization subpart

No

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

Authorized official

Name

Sarah Russell

Title

Owner/Authorized Official and Signe

Phone

(601) 764-2419

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1831023639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9K BAY AVE",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394229200",
            "telephone_number": "601-498-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9K BAY AVE",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394229200",
            "telephone_number": "601-498-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA BLOOM WOMEN'S HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL AND SIGNE",
        "authorized_official_telephone_number": "601-764-2419"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Physical Therapy Limited Partnership
• A Keith Lay Jr., MD
• Little Family Chiropractic, P.a.
• Paul Alan Little, DOCTOR OF CHIROPRACT
• Rebecca Little, FNP-C
• Eric Cleo McCormick, DMD
• McLaurin Dental Clinic, P.a.
• Samuel Hugh McLaurin Jr., DMD
• Amber Miles, CFNP
• Mississippi State Department of Health

• Women's Health Nurse Practitioner in Bay Springs, MS
• Providers in Bay Springs, MS by specialty
• Women's Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.