Individual
STEPHANIE JEANNETTE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 COMMONS DR, MARTIN, TN 38237-3879
(731) 587-5138
Mailing address
3970 HIGHWAY 118, DRESDEN, TN 38225-5905
(731) 514-5935
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0000029252
TN
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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