Gardner, Jessica Elena

Gardner, Jessica Elena is an individual health care provider with primary practice located at 7021 Harbour View Blvd Ste 119 , Suffolk VA 23435-2869. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gardner, Jessica Elena can be contacted via phone (757) 953-7000.

Contact Information

Primary practice address
7021 Harbour View Blvd Ste 119 Suffolk VA 23435-2869
Phone: (757) 953-7000
Fax: (757) 953-5025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116021373 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2008015974 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101249412 Virginia

Profile Details

NPI number 1568625226
LBN Legal business name Gardner, Jessica Elena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Mar 7th, 2023 - about 3 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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