Individual
JENNIFER L GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14 GREAT PLAIN ROAD, ARAPAHOE, WY 82510
(307) 856-9281
(307) 856-1630
Mailing address
3914 TAM-O-SHANTER, RIVERTON, WY 82501
(307) 856-1564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
25376
WY
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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