SHANA BROUSSARD

Family Nurse Practitioner

NPI: 1134740798IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

903748(MS)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2019

Contact & Hours

Address: 10404 TUCKER RD # LLC
VANCLEAVE, MS 39565
Phone: (228) 354-9505

Quick Facts

NPI: 1134740798
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 7

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