Individual
SHANNON LEIGH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 BLYTHE BLVD, CHARLOTTE, NC 28203-5866
(704) 381-9900
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010776
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
5010776
NC
363LP2300X
Primary Care Nurse Practitioner
5010776
NC
Other
Enumeration date
11/23/2015
Last updated
07/15/2024
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