MRS. SHAWNTA GANDY

Nurse Practitioner - Family

Active Individual
NPI: 1366851321

Practice Address

27 CANDELABRA ST
Petal, MS 39465

Phone: (601) 620-8011

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No R883735 (MS)
Nurse Practitioner - Family 363LF0000X Yes R883735 (MS)

Frequently Asked Questions

NPI 1366851321 is the National Provider Identifier for MRS. SHAWNTA GANDY, a Nurse Practitioner - Family provider located in Petal, MS. This NPI was enumerated on August 4, 2014.
MRS. SHAWNTA GANDY practices at 27 CANDELABRA ST, Petal, MS 39465.

Quick Facts

NPI
1366851321
Type
Individual
Enumerated
Aug 4, 2014
Last Updated
Oct 5, 2015

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