Individual
MARY GANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5433 MARION DR, MARION, MS 39342-9303
(601) 513-1525
Mailing address
5433 MARION DR, MARION, MS 39342-9303
(601) 513-1525
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
906508
MS
Other
Enumeration date
11/24/2020
Last updated
06/28/2024
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