Search › Mississippi › Family Nurse Practitioner
Shana Broussard
NPI 1134740798 · on the registry since 2020
Practice
- Address
- 10404 Tucker Rd # Llc
Vancleave, MS 39565 - Phone
- (228) 354-9505
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-24
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