Gardner, Jaquita Y
Gardner, Jaquita Y is an individual health care provider with primary practice located at 10901 E 48Th St , Tulsa OK 74146-5830. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gardner, Jaquita Y can be contacted via phone (918) 749-8765.Contact Information
Primary practice address
10901 E 48Th St
Tulsa OK 74146-5830
Phone: (918) 749-8765
Fax: (918) 392-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | R0080870 | Oklahoma |
Profile Details
| NPI number | 1134635469 |
|---|---|
| LBN Legal business name | Gardner, Jaquita Y |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2017 |
| Last updated | Dec 22nd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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