Individual
JESSICA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 METRO DR, ALEXANDRIA, LA 71301-3424
(318) 561-4200
(318) 561-4205
Mailing address
1416 METRO DR, ALEXANDRIA, LA 71301-3424
(318) 561-4200
(318) 561-4205
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APO7713
LA
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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