Organization
ESSENTIAL RENEW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE LEE GARDNER ARNP (ARNP)
(859) 405-5217
Entity
Organization
Contact information
Practice address
555 CONCORD RD, CARLISLE, KY 40311-9401
(859) 405-5217
Mailing address
555 CONCORD RD, CARLISLE, KY 40311-9401
(859) 405-5217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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