Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sandra Newsom, FNP

Individual provider Family Nurse Practitioner · NPI 1912901521

Sandra Newsom, FNP is a Nurse Practitioner in Horn Lake, Mississippi. Qualified in 1996, 30 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
30
Licensed in
MS
In the registry since
2005
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2906 Goodman Rd W Ste 109
Horn Lake, MS 38637-1291
Phone: (662) 393-8022
Fax: (662) 393-8052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R852706 (MS)

Record details

NPI number1912901521
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 10, 2005
Last updated in NPPESSeptember 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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