Individual provider · Type 1 NPI

Jean Ann Gardner, CRNP

Pediatric Nurse Practitioner · Kensington, MD

NPI number 1124186044 Active

Practice location

10810 Connecticut Avenue
Kensington, MD 20895-2138

Fax (301) 929-7114

Mailing address

Kaiser Permanente Mid Atlantic Permanente Medical Group, 2101 E Jefferson St Ppqa Medicare Compliance Unit 6 W
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR092707 (MD)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1124186044

Jean Ann Gardner, CRNP's National Provider Identifier is 1124186044, issued on Dec 4, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kensington, MD. The record was last updated on Nov 8, 2010.