Individual
JENNIFER ANNE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1385 PARK VIEW DR STE 101, TWIN FALLS, ID 83301-4390
(208) 944-0497
(208) 944-0506
Mailing address
160 7TH AVE N, TWIN FALLS, ID 83301-6145
(208) 420-8387
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
65975
ID
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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