Individual provider · Type 1 NPI

Kimberley Gardner, NURSE PRACTITIONER

Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX

NPI number 1275905820 Active

Practice location

3109 6th Ave Ste B
Fort Worth, TX 76110-3800

Mailing address

1210 Powder River Trl
Southlake, TX 76092

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP129382 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1275905820

Kimberley Gardner, NURSE PRACTITIONER's National Provider Identifier is 1275905820, issued on Oct 22, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 3, 2015.