Individual
JENNIFER JANEL GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(615) 460-4300
Mailing address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000088475
TN
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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