Individual
HOLLY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PMHNP-BC
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9230130
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9230130
FL
Other
Enumeration date
12/21/2015
Last updated
01/25/2016
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