Individual
NICOLE L GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1750 E LAKE SHORE DR STE 200, DECATUR, IL 62521-3806
(217) 464-1460
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009221
IL
Other
Enumeration date
08/05/2022
Last updated
07/27/2026
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