Individual provider · Type 1 NPI

Beverly Joan Gardner, PA-C

Medical Physician Assistant · Crossville, TN

NPI number 1629089065 Active

Practice location

131 S Webb Ave
Crossville, TN 38555-8452

Fax (931) 484-5946

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA632 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1629089065

Beverly Joan Gardner, PA-C's National Provider Identifier is 1629089065, issued on Aug 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Crossville, TN. The record was last updated on Dec 1, 2020.