Individual provider · Type 1 NPI

Emily Catherine Gandenberger, CPNP-PC

Pediatric Nurse Practitioner · Brookhaven, MS

NPI number 1700779105 Active

Practice location

508 Brookway Blvd
Brookhaven, MS 39601-3267

Call (601) 896-3898 Map

Mailing address

439 Madison Oaks Dr
Madison, MS 39110-9495

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X907889 (MS)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1700779105

Emily Catherine Gandenberger, CPNP-PC's National Provider Identifier is 1700779105, issued on Jun 2, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brookhaven, MS. The record was last updated on Feb 28, 2026.