Individual provider · Type 1 NPI
Mary Gardner
Psychiatric/Mental Health Nurse Practitioner · Brandon, MS
NPI number
1437795606
Active
Practice location
613 Marquette Rd
Brandon, MS 39042-3038
Mailing address
PO Box 88
Brandon, MS 39043-0088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 903623 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1437795606
Mary Gardner's National Provider Identifier is 1437795606, issued on Nov 22, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brandon, MS. The record was last updated on Nov 22, 2019.