SearchMississippiNurse Practitioner

Jenna Gaddy

NPI 1114470143 · on the registry since 2016

Practice

Address
104 W Railroad Ave S
Crystal Springs, MS 39059
Phone
(601) 892-3063
Fax
(888) 927-0375
Organisation at this address
Family Medical Clinic Of Crystal Springs Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Nurse Practitioner
363L00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi