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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANA MARIE BROUSSARD

Active

SHANA MARIE BROUSSARD is a Family Nurse Practitioner healthcare provider located in VANCLEAVE, Mississippi. NPI 1134740798 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · VANCLEAVE, MS

Registration Details

NPI Number
1134740798
Provider Type
Individual
Gender
Female
NPI Issued
May 5, 2020 (6.0924866534632 yrs)
Last Updated
Jun 24, 2020
License
903748 (MS)

Practice Information

Address
10404 TUCKER RD # LLC
VANCLEAVE, MS, 395657922
Browse MS providers · Browse ZIP 39565
Phone
2283549505
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in VANCLEAVE, MS

Name Credential NPI
MRS. VECIE MICHELE HARRIS FNP 1417252891
MRS. BOBBY NICOLE SHOWS FNP 1518263888
MRS. VICTORIA BURGES SWYNENBERG APRN, FNP-C 1124382635
JAMI LECHNER FNP-C 1992105191
BRITTANY MCELHANEY CFNP 1174911960
TRACI WHITE NP-C 1316483084
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.