Individual provider · Type 1 NPI
Jessica Kristen Gardner, CPNP
Pediatric Nurse Practitioner · Charleston, SC
NPI number
1396388393
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-8900
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 23365 (SC) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1396388393
Jessica Kristen Gardner, CPNP's National Provider Identifier is 1396388393, issued on Oct 22, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charleston, SC. The record was last updated on Jan 13, 2020.