Kendra S Gardner, NP | |
3702 Jefferson St, Pascagoula, MS 39563 | |
(228) 769-1166 | |
Not Available |
Full Name | Kendra S Gardner |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3702 Jefferson St, Pascagoula, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134628985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 902266 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 902266 (Mississippi) | Primary |
Entity Name | Family Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174279301 PECOS PAC ID: 2365829793 Enrollment ID: O20220524001557 |
Mailing Address | Practice Location Address |
---|---|
Kendra S Gardner, NP 3702 Jefferson Ave, Moss Point, MS 39563-6218 Ph: (228) 769-1166 | Kendra S Gardner, NP 3702 Jefferson St, Pascagoula, MS 39563 Ph: (228) 769-1166 |
Mrs. Leslie Estes Shavers, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2210 Denny Ave, Pascagoula, MS 39567 Phone: 228-372-6043 | |
William Wenstrom, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3615 Hospital St, Pascagoula, MS 39581 Phone: 228-230-2663 Fax: 228-546-3257 | |
Mrs. Gina Marie Guillotte, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5251 Fax: 228-809-5255 | |
Jennifer Hurley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2809n Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Mrs. Ashley N Hilsabeck, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2819 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-3466 Fax: 228-762-6349 | |
Mrs. Laura Michele Schepens, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4211 Hospital St, Pascagoula, MS 39581 Phone: 228-769-9797 Fax: 228-769-9779 |