IndividualActive
Emily Gandenberger, CPNP-PC
NPI 1700779105 · Pediatric Nurse Practitioner · Brookhaven, MS
Provider details
- NPI number
- 1700779105
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 907889 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
508 Brookway Blvd
Brookhaven, MS 39601-3267
Phone: (601) 896-3898
Approximate (ZIP-level) locationGet directions
Mailing address
439 Madison Oaks Dr
Madison, MS 39110-9495
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2026-02-28
- Certified
- 2026-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.