Gardner, Jaquita Y

Gardner, Jaquita Y is an individual health care provider with primary practice located at 10901 E 48Th St , Tulsa OK 74146-5830. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gardner, Jaquita Y can be contacted via phone (918) 749-8765.

Contact Information

Primary practice address
10901 E 48Th St Tulsa OK 74146-5830
Phone: (918) 749-8765
Fax: (918) 392-2155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X R0080870 Oklahoma

Profile Details

NPI number 1134635469
LBN Legal business name Gardner, Jaquita Y
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2017
Last updated Dec 22nd, 2017 - about 7 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.

Request for update

Popular Providers