Individual provider · Type 1 NPI
Jenna Gaddy
Nurse Practitioner · Crystal Springs, MS
Practice location
104 W Railroad Ave S
Crystal Springs, MS 39059-2111
Fax (888) 927-0375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R901658 (MS) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
About NPI 1114470143
Jenna Gaddy's National Provider Identifier is 1114470143, issued on Jul 26, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Crystal Springs, MS. The record was last updated on Nov 18, 2025.