Organization · Type 2 NPI
Stacy Gardner
Family Nurse Practitioner · West Frankfort, IL
NPI number
1285806422
Active
Practice location
410 W Saint Louis St
West Frankfort, IL 62896-1956
Fax (618) 932-2202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 209007026 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in West Frankfort
About NPI 1285806422
Stacy Gardner's National Provider Identifier is 1285806422, issued on Mar 27, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Frankfort, IL. The record was last updated on Aug 17, 2009.