MRS. EMILY CATHERINE GANDENBERGER CPNP-PC
NPI 1700779105
Nurse Practitioner - Pediatrics in Brookhaven, MS

Active since June 02, 2025
508 BROOKWAY BLVD, BROOKHAVEN, MS 39601(601) 896-3898 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Emily Catherine Gandenberger Cpnp-pc NPPES

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

MRS. EMILY CATHERINE GANDENBERGER CPNP-PC (NPI 1700779105) is an individual pediatrics provider in Brookhaven, Mississippi, licensed in Mississippi (907889) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1700779105
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. EMILY CATHERINE GANDENBERGERCredential: CPNP-PC
Location Address508 BROOKWAY BLVDBrookhaven, MS 39601-3267
Mailing Address439 Madison Oaks DrMadison, MS 39110-9495 · (601) 835-1062
Sole ProprietorNo
Enumeration DateJune 2, 2025
Last NPPES UpdateFebruary 28, 2026
NPPES CertifiedFebruary 28, 2026
NPI 1700779105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MS · 907889
508 BROOKWAY BLVD, Brookhaven, MS 39601

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Pediatrics)
508 BROOKWAY BLVD
BROOKHAVEN, MS 39601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Gandenberger's NPI number?

The NPI number for Emily Gandenberger is 1700779105. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Emily Gandenberger located?

Emily Gandenberger practices at 508 Brookway Blvd, Brookhaven, MS 39601. The listed phone number is (601) 896-3898.

What is Emily Gandenberger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Emily Gandenberger was last updated on February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.