Individual provider · Type 1 NPI
Gina Lisette Gardner, NP
Primary Care Nurse Practitioner · St. Louis, MO
NPI number
1295364594
Active
Practice location
915 N Grand Blvd
St. Louis, MO 63106-1621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | A158361 (IA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1295364594
Gina Lisette Gardner, NP's National Provider Identifier is 1295364594, issued on Apr 7, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in St. Louis, MO. The record was last updated on Apr 7, 2020.