JORDAN GARDNER NPI 1780360230

NPI Information

  • NPI: 1780360230
  • Provider Name: JORDAN GARDNER
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 590 PIT RD
    BROWNSBURG, IN
    ZIP 46112
  • Phone: (317) 456-1100

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NPI Details

Jordan Gardner is a pediatrics nurse practitioner in Brownsburg, IN. Jordan Gardner NPI is 1780360230. 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:

590 PIT RD
BROWNSBURG, IN
ZIP 46112-830
Phone: (317) 456-1100
Fax: (317) 334-8868

The NPI 1780360230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2023 and was last updated on 5/29/2025.

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
1208000000XPediatrics202325711NORTH CAROLINANo
2363LP0200XNurse PractitionerPediatrics71015547AINDIANAYes

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: 11/21/2025

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