Individual
SHELIA GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER-C
Contact information
Practice address
400 S CHESTNUT ST, ABERDEEN, MS 39730-3335
(662) 369-2455
Mailing address
1581 NORTHWOOD FOREST RD, WEST POINT, MS 39773-9008
(662) 251-6070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850255
MS
Other
Enumeration date
12/06/2014
Last updated
12/06/2014
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