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SHAY WELLNESS, LLC
NPI 1477489987
Nurse Practitioner - Women's Health in Southaven, MS

Active since June 22, 2026
730 GOODMAN RD E STE B, SOUTHAVEN, MS 38671(662) 649-6087(662) 337-6670 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shay Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAY WELLNESS, LLC (NPI 1477489987) is a healthcare organization registered as a women's health in Southaven, Mississippi and active in the NPI registry since June 2026. The organization lists Blanche Foshee' Petty, Aprn/owner, as its authorized official.

NPPES Registry Identity

NPI1477489987
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameSHAY WELLNESS, LLC
Location Address730 GOODMAN RD E STE BSouthaven, MS 38671-9530
Mailing Address730 Goodman Rd E Ste BSouthaven, MS 38671-9530 · (662) 649-6087 · Fax (662) 337-6670
Phone(662) 649-6087
Fax(662) 337-6670
Organization SubpartNo
Authorized OfficialBlanche Foshee' PettyAprn/owner · (662) 649-6087
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1477489987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
730 GOODMAN RD E STE B, Southaven, MS 38671
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLANCHE FOSHEE' PETTY APRN
Nurse Practitioner (Women's Health)
730 GOODMAN RD E STE B
SOUTHAVEN, MS 38671
Desoto County (662) 649-6087

Frequently Asked Questions

What is SHAY WELLNESS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1477489987, enumerated as an "organization" on June 22, 2026.

Where is the provider located?

The provider is located at 730 GOODMAN RD E STE B SOUTHAVEN, MS 38671 and the phone number is (662) 649-6087.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.