MRS. Shawnta Senice Gandy
NPI #1366851321 in Petal, Mississippi
Provider Information
- NPI Number
- 1366851321
- Entity Type
- Individual
- Name
- MRS. Shawnta Senice Gandy
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 4, 2014
- Last Updated
- Oct 5, 2015
Practice Location
- Address
- 27 CANDELABRA ST
- City
- Petal
- State
- Mississippi
- ZIP Code
- 39465-9008
- Phone
- (601) 620-8011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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