Individual provider · Type 1 NPI

Christina Marie Gardner

Nurse Practitioner · Tupelo, MS

NPI number 1154913895 Active

Practice location

830 S Gloster St
Tupelo, MS 38801-4934

Fax (662) 377-2920

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X904443 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154913895

Christina Marie Gardner's National Provider Identifier is 1154913895, issued on Feb 4, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tupelo, MS. The record was last updated on Dec 15, 2025.