Individual
JANET GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPN
Contact information
Practice address
PREFERRED BEHAVIORAL HEALTH, 700 AIRPORT ROAD, LAKEWOOD, NJ 08701
(732) 367-4700
(732) 364-2253
Mailing address
201 RACHEL COURT, LAKEWOOD, NJ 08701
(732) 370-8497
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
26NO07680000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
01/31/2007
Last updated
07/09/2007
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