Gardner, Tiffany Hicks

Gardner, Tiffany Hicks is an individual health care provider with primary practice located at 1155 Cedar Ct , Carbondale IL 62901-5333. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gardner, Tiffany Hicks can be contacted via phone (618) 490-1045.

Contact Information

Primary practice address
1155 Cedar Ct Carbondale IL 62901-5333
Phone: (618) 490-1045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209017781 Illinois

Profile Details

NPI number 1457823056
LBN Legal business name Gardner, Tiffany Hicks
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2018
Last updated Oct 18th, 2025 - about last year

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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