Individual
MRS. JENNIFER G GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
528 CECILIA COVE DR, CHARLESTON, SC 29412-4962
(843) 270-5486
Mailing address
528 CECILIA COVE DR, CHARLESTON, SC 29412-4962
(843) 270-5486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1873
SC
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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