Gardner, Jessica Marie

Gardner, Jessica Marie is an individual health care provider with primary practice located at 425 Centre View Blvd , Crestview Hills KY 41017-3409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gardner, Jessica Marie can be contacted via phone (859) 341-3575.

Contact Information

Primary practice address
425 Centre View Blvd Crestview Hills KY 41017-3409
Phone: (859) 341-3575
Fax: (859) 341-5701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1647 Kentucky

Profile Details

NPI number 1497042113
LBN Legal business name Gardner, Jessica Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2011
Last updated Aug 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497042113 NPPES
Other 1098672 NCCPA

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