Healthcare Provider Details

I. General information

NPI: 1215741863
Provider Name (Legal Business Name): MAGNIFY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 SIX FORKS RD STE 204
RALEIGH NC
27615-3060
US

IV. Provider business mailing address

8390 SIX FORKS RD STE 204
RALEIGH NC
27615-3060
US

V. Phone/Fax

Practice location:
  • Phone: 984-298-0087
  • Fax:
Mailing address:
  • Phone: 984-298-0087
  • Fax: 919-882-9653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRISHAUNDA VICK
Title or Position: NP
Credential: NP
Phone: 984-298-0087