Gardner, Jenna Gloria
Gardner, Jenna Gloria is an individual health care provider with primary practice located at 10315 Dawsons Creek Blvd Ste Ab , Fort Wayne IN 46825-1912. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Gardner, Jenna Gloria can be contacted via phone (260) 436-7875.Contact Information
Primary practice address
10315 Dawsons Creek Blvd Ste Ab
Fort Wayne IN 46825-1912
Phone: (260) 436-7875
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | AA2000022 | District of Columbia |
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 75000170A | Indiana |
Profile Details
NPI number | 1003560277 |
---|---|
LBN Legal business name | Gardner, Jenna Gloria |
Credentials | CAA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2022 |
Last updated | Feb 6th, 2024 - about 9 months 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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