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Jessica Gardner
NPI 1720753072 · on the registry since 2021
Practice
- Address
- 8921 W Hackamore Dr
Boise, ID 83709 - Phone
- (208) 375-1105
- Fax
- (208) 377-7707
- Organisation at this address
- A Promise Of Hope, Inc.
Northwest Occupational Medicine & Neurosurgical Spine Institute LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-10
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 Idaho