MEDICARE: MAGNIFY HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1215741863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGNIFY HEALTH

Provider Business Mailing Address
First Line	:	8504 SIX FORKS RD STE 204
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-3265
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8390 SIX FORKS RD STE 204
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-3060
Country	:	US
Telephone Number	:	984-298-0087
Fax Number	:

Authorized Official
Title or Position	:	NP
Name	:	CHRISHAUNDA VICK
Credential	:	NP
Telephone Number	:	984-298-0087

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	12/10/2025

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Directions to “MAGNIFY HEALTH ” Practice Location

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