Individual
JORDAN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6055 POLONIUS CT, INDIANAPOLIS, IN 46254-5090
(317) 741-0591
Mailing address
6055 POLONIUS CT, INDIANAPOLIS, IN 46254-5090
(317) 741-0591
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
240182981
IN
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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