STEPHANIE JEANNETTE GARDNER NPI 1346812013

NPI Information

NPI: 1346812013
Provider Name: STEPHANIE JEANNETTE GARDNER
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
130 COMMONS DR
MARTIN, TN
ZIP 38237
Phone: (731) 587-5138
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Stephanie Jeannette Gardner is a pediatrics nurse practitioner in Martin, TN. Stephanie Jeannette Gardner NPI is 1346812013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 COMMONS DR
MARTIN, TN
ZIP 38237-879
Phone: (731) 587-5138

The enumeration date for this NPI number is 7/13/2021 and was last updated on 7/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	APN0000029252	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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