Individual
KARENA A GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5364 JACKSON ST, PHILADELPHIA, PA 19124-1565
(215) 650-8204
Mailing address
5364 JACKSON ST, PHILADELPHIA, PA 19124-1565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19076
SC
363LF0000X
Family Nurse Practitioner
Primary
SP010721
PA
Other
Enumeration date
04/12/2010
Last updated
03/15/2022
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