Individual
JEREMY GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21085 E PECAN LN, QUEEN CREEK, AZ 85142-5051
(480) 216-2030
Mailing address
21085 E PECAN LN, QUEEN CREEK, AZ 85142-5051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN167639
AZ
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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