Gardner, Harriette

Gardner, Harriette is an sole proprietor health care provider with primary practice located at 31 W Adams St Ste 102, Jacksonville FL 32202-3605. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Gardner, Harriette can be contacted via phone (901) 338-5421.

Contact Information

Primary practice address
31 W Adams St Ste 102 Jacksonville FL 32202-3605
Phone: (901) 338-5421
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1366645673
LBN Legal business name Gardner, Harriette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated Mar 19th, 2020 - about 4 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 1366645673 NPPES
Florida MEDICAID 008048000

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