SearchWisconsin164W00000X

Jennifer Gardner, LPN

NPI 1548527740 · on the registry since 2012 · sole proprietor

Practice

Address
713 Mather St
Green Bay, WI 54303
Phone
(920) 309-1486

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
374U00000X
376K00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin