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Individual
MRS. MANDY KAY GENTRY
Active
Individual
MRS. MANDY KAY GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23090
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-85676-091
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0106307-C-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-RXN.0104077-C-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G190761
IA
Other
Enumeration date
07/31/2017
Last updated
09/22/2026
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