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Individual

SHANNON D GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
841 CENTRAL ST STE 101, FRANKLIN, NH 03235-2053
(603) 934-1464
Mailing address
PO BOX 3889, JOHNSON CITY, TN 37602-3889
(423) 794-2457
(423) 283-9480

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024173177
VA
363L00000X
Nurse Practitioner
18652
TN
363LF0000X
Family Nurse Practitioner
Primary
092431-23
NH

Other

Enumeration date
07/15/2014
Last updated
10/20/2023
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