Individual provider · Type 1 NPI
Tishana Gardener
Family Nurse Practitioner · Decatur, GA
NPI number
1801246608
Active
Practice location
107 N Mcdonough St
Decatur, GA 30030-3317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 317752 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801246608
Tishana Gardener's National Provider Identifier is 1801246608, issued on Jun 13, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Decatur, GA. The record was last updated on Nov 18, 2024.