Gardner, Jennifer L

Gardner, Jennifer L is an sole proprietor health care provider with primary practice located at 713 Mather St , Green Bay WI 54303-3559. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Gardner, Jennifer L can be contacted via phone (920) 309-1486.

Contact Information

Primary practice address
713 Mather St Green Bay WI 54303-3559
Phone: (920) 309-1486
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 291818 Wisconsin
Nursing Service Related Providers / Nurse's Aide 376K00000X 291818 Wisconsin
Nursing Service Providers / Licensed Practical Nurse 164W00000X 312658-31 Wisconsin

Profile Details

NPI number 1548527740
LBN Legal business name Gardner, Jennifer L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2012
Last updated May 21st, 2012 - about 12 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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