DEANA KATELYN GENTRY

SOUTHAVEN, MS
NPI1831868728
Other NameDEANA KATELYN FERGUSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MS  907130)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: TN  35041)
Enumeration Date2021-09-13
Last Update Date2025-03-04
Business Address
DEANA KATELYN GENTRY RN
7900 AIRWAYS BLVD STE 101
SOUTHAVEN, MS 38671-4113
Phone number: 662-349-6950
Mailing Address
DEANA KATELYN GENTRY RN
ONE GI CREDENTIALING DEPARTMENT PO BOX 381468
GERMANTOWN, TN 38183-1468
Phone number: