Individual
SHALESSE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8383 WILSHIRE BLVD STE 202, BEVERLY HILLS, CA 90211-2432
(855) 501-1004
(310) 432-7065
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(916) 576-7900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015664
CA
Other
Enumeration date
10/26/2021
Last updated
08/08/2024
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