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Individual

MS. JEAN ANN GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
10810 CONNECTICUT AVENUE, KENSINGTON, MD 20895-2138
(301) 929-7507
(301) 929-7114
Mailing address
KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, 2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6 W, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R092707
MD

Other

Enumeration date
12/04/2006
Last updated
11/08/2010
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