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MRS. GWENDOLYN PITCOCK SHIRLEY FNP
NPI 1871726182
Nurse Practitioner - Family in Southaven, MS

Active since September 02, 2009
2149 STATELINE RD W, SOUTHAVEN, MS 38671(662) 342-1112(662) 342-1116 Get Directions Write a Review

NPPES record last updated: February 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Gwendolyn Pitcock Shirley Fnp NPPES

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

MRS. GWENDOLYN PITCOCK SHIRLEY FNP (NPI 1871726182) is an individual family provider in Southaven, Mississippi, licensed in Mississippi (R858450) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1871726182
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GWENDOLYN PITCOCK SHIRLEYCredential: FNP
Location Address2149 STATELINE RD WSouthaven, MS 38671-1222
Mailing Address3402 Tocowa RdCourtland, MS 38620-9213 · (662) 563-3994
Phone(662) 342-1112
Fax(662) 342-1116
Sole ProprietorYes
Enumeration DateSeptember 2, 2009
Last NPPES UpdateFebruary 9, 2010
✔ NPI 1871726182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R858450
2149 STATELINE RD W, Southaven, MS 38671
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Other Providers at the Same Location NPPES 6

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

MS. SHERLEAN D SHUGARS NP
Nurse Practitioner (Family)
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112
MIDSOUTH MEDICINE
Internal Medicine
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112
LANA COOPER FNP-C
Nurse Practitioner (Family)
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112
DAWN WEBB FNP
Nurse Practitioner (Family)
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112
MRS. JENNIFER HARRIS
Nurse Practitioner (Family)
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112
DR. CIAO Z NEWMAN M.D.
Internal Medicine
2149 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 342-1112

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 Gwendolyn Shirley's NPI number?

The NPI number for Gwendolyn Shirley is 1871726182. It was assigned to this individual provider in the NPPES registry on September 2, 2009.

Where is Gwendolyn Shirley located?

Gwendolyn Shirley practices at 2149 Stateline Rd W, Southaven, MS 38671. The listed phone number is (662) 342-1112.

What is Gwendolyn Shirley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Shirley was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.