Individual
MRS. JESSICA MARIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1700 WOODLAWN AVE, DYERSBURG, TN 38024-2028
(731) 287-4500
(731) 287-4504
Mailing address
1702 WOODLAWN AVE, DYERSBURG, TN 38024-2028
(731) 287-4500
(731) 287-4504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16464
TN
Other
Enumeration date
02/03/2012
Last updated
08/04/2015
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