Shana Marie Broussard
Shana Marie Broussard is a Nurse Practitioner in Vancleave, Mississippi. Qualified in 2019, 7 years ago. Practices with Ocean Springs Urgent Care, a 19-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 7
- Licensed in
- MS
- In the registry since
- 2020
Practice location Address checks out
10404 Tucker Rd # LlcVancleave, MS 39565-7922
Phone: (228) 354-9505
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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 903748 (MS) |
|---|
Record details
| NPI number | 1134740798 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 5, 2020 |
| Last updated in NPPES | June 24, 2020 |
| Certification date | June 24, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Ocean Springs Urgent Care — 19 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Vancleave
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Mrs. Karen Veronica Carlisle-Bond, FNP-C
6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 · (228) 230-2663
-
Karley Clark, APRN, MSN, FNP-C
11700 Highway 57, Vancleave, MS 39565-8309 · (228) 826-1482
-
Coast Nurse Practitioners, Inc
13300 Rs Kimball Rd, Vancleave, MS 39565-7235 · (228) 826-4600
-
Bailey M Garriga, FNP-C
6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 · (228) 230-2663