Individual
CHRISSY GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
359 CEDAR TRAIL LN, HARVEST, AL 35749-9659
(256) 655-1860
Mailing address
359 CEDAR TRAIL LN, HARVEST, AL 35749-9659
(256) 655-1860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-136585
AL
363L00000X
Nurse Practitioner
Primary
1-136585
AL
Other
Enumeration date
03/11/2021
Last updated
05/14/2021
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