Individual
ALLISON LEE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3500
(317) 217-3551
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012369A
IN
363LF0000X
Family Nurse Practitioner
C-APN.0105727-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430E19
MEDICARE
IN
01
—
267030256
MEDICARE
IN
05
—
300061022
—
IN
05
—
9000256288
—
CO
Enumeration date
03/21/2022
Last updated
03/30/2026
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