Mrs. Shawnta Senice Gandy
Mrs. Shawnta Senice Gandy is a Nurse Practitioner in Petal, Mississippi. Qualified in 2014, 12 years ago. Practices with Minor Med Care, LLC, a 81-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 12
- Licensed in
- MS
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
27 Candelabra StPetal, MS 39465-9008
Phone: (601) 620-8011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence R883735 (MS) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence R883735 (MS) |
Record details
| NPI number | 1366851321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 4, 2014 |
| Last updated in NPPES | October 5, 2015 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Minor Med Care, Llc — 81 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Petal
-
Jacy Csaszar
204 Mamie St, Petal, MS 39465-2130 · (601) 325-1933
-
Alicia Martin
58 Chateau Dr, Petal, MS 39465-4100 · (678) 699-3489
-
Petal School District
400 Hillcrest Loop, Petal, MS 39465 · (601) 584-7660