Individual provider · Type 1 NPI

Justin Gardner, FNP

Adult Health Nurse Practitioner · Syracuse, NY

NPI number 1275439291 Active

Practice location

739 Irving Ave Ste 500
Syracuse, NY 13210-1664

Mailing address

736 Irving Ave Ste 500
Syracuse, NY 13210-1602

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X359984 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1275439291

Justin Gardner, FNP's National Provider Identifier is 1275439291, issued on Oct 16, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Syracuse, NY. The record was last updated on Oct 16, 2026.